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ICD-10 Guide
ICD-10 CodesB01.8

B01.8

Other forms of varicella [chickenpox]

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B01.8 is a billable code used to indicate a diagnosis of other forms of varicella [chickenpox].

Key Diagnostic Point:

Varicella, commonly known as chickenpox, is a highly contagious viral infection caused by the varicella-zoster virus (VZV). While the classic presentation includes an itchy rash and flu-like symptoms, other forms of varicella can manifest atypically, particularly in immunocompromised individuals or those who have received the varicella vaccine. These atypical presentations may include a milder rash, fewer lesions, or even a lack of rash altogether, which can complicate diagnosis. In vaccinated individuals, breakthrough varicella can occur, presenting with a limited number of lesions and milder symptoms compared to unvaccinated cases. Complications from varicella can include secondary bacterial infections, pneumonia, and encephalitis, particularly in high-risk populations. Accurate coding for other forms of varicella is essential for proper treatment and management, as well as for tracking epidemiological data and vaccination effectiveness.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among vaccinated and unvaccinated individuals
  • Differentiation from other viral exanthems
  • Need for thorough patient history to determine vaccination status
  • Potential for misdiagnosis in atypical cases

Audit Risk Factors

  • Inadequate documentation of vaccination status
  • Failure to specify atypical presentations
  • Misclassification of varicella complications
  • Lack of supporting clinical evidence for diagnosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Complete vaccination history, clinical presentation details, and any complications.

Common Clinical Scenarios

Diagnosis of chickenpox in children, management of complications, and vaccination follow-up.

Billing Considerations

Consideration of breakthrough varicella in vaccinated children and atypical presentations.

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and clinical findings.

Common Clinical Scenarios

Management of varicella in immunocompromised patients and atypical presentations.

Billing Considerations

Need for thorough differential diagnosis to rule out other infections.

Coding Guidelines

Inclusion Criteria

Use B01.8 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the patient's clinical presentation and vaccination status
  • Include any complications or co
  • existing conditions as necessary

Exclusion Criteria

Do NOT use B01.8 When
No specific exclusions found.

Related CPT Codes

90460CPT Code

Immunization administration

Clinical Scenario

Administering varicella vaccine to a child.

Documentation Requirements

Document vaccine type, administration date, and patient consent.

Specialty Considerations

Pediatricians should ensure accurate recording of vaccination history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of varicella and its complications, improving data accuracy and epidemiological tracking. B01.8 provides a distinct code for atypical presentations, which was less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of varicella and its complications, improving data accuracy and epidemiological tracking. B01.8 provides a distinct code for atypical presentations, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of varicella and its complications, improving data accuracy and epidemiological tracking. B01.8 provides a distinct code for atypical presentations, which was less clearly defined in ICD-9.

Resources

Clinical References

  • •
    CDC Varicella (Chickenpox) Information

Coding & Billing References

  • •
    CDC Varicella (Chickenpox) Information

Frequently Asked Questions

What is the difference between B01.8 and B01.0?

B01.8 is used for other forms of varicella that do not have specific complications like pneumonia, which is coded as B01.0. Accurate coding depends on the presence of complications and clinical presentation.