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ICD-10 Guide
ICD-10 CodesB02.2

B02.2

Herpes zoster with other nervous system involvement

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

Code Description

ICD-10 B02.2 is a billable code used to indicate a diagnosis of herpes zoster with other nervous system involvement.

Key Diagnostic Point:

Herpes zoster, commonly known as shingles, is a viral infection caused by the reactivation of the varicella-zoster virus (VZV), which also causes chickenpox. This condition is characterized by a painful rash that typically appears on one side of the body or face. When herpes zoster is associated with other nervous system involvement, it can lead to complications such as postherpetic neuralgia, meningitis, or encephalitis. Patients may experience severe pain, sensory disturbances, and neurological deficits depending on the areas affected. The incidence of herpes zoster increases with age and is more common in individuals with weakened immune systems. Vaccination against VZV is recommended for older adults to reduce the risk of developing herpes zoster and its complications. The clinical management of herpes zoster may include antiviral medications, pain management, and supportive care. Accurate coding is essential for proper treatment reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between herpes zoster and other viral infections.
  • Identifying specific nervous system involvement.
  • Documenting complications accurately.
  • Understanding vaccination history and its impact on the condition.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to specify the type of nervous system involvement.
  • Misclassification of herpes zoster as a primary diagnosis without supporting evidence.
  • Inconsistent coding of complications.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with severe pain and neurological deficits following herpes zoster.

Billing Considerations

Ensure comprehensive documentation of neurological assessments and any interventions performed.

Infectious Disease

Documentation Requirements

History of varicella infection, vaccination status, and treatment response.

Common Clinical Scenarios

Patients with recurrent herpes zoster or those with atypical presentations.

Billing Considerations

Document any co-infections or complications that may arise.

Coding Guidelines

Inclusion Criteria

Use B02.2 When
  • According to the ICD
  • CM guidelines, B02
  • 2 should be used when there is documented involvement of the nervous system due to herpes zoster
  • Coders must ensure that the documentation supports the diagnosis and any associated complications

Exclusion Criteria

Do NOT use B02.2 When
No specific exclusions found.

Related CPT Codes

90471CPT Code

Immunization administration

Clinical Scenario

Administering the shingles vaccine to prevent herpes zoster.

Documentation Requirements

Document vaccine type, administration date, and patient consent.

Specialty Considerations

Ensure proper coding for vaccine administration in relation to patient age and health status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of herpes zoster and its complications, improving the accuracy of data collection and reimbursement processes. B02.2 provides a clear distinction for cases with nervous system involvement, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of herpes zoster and its complications, improving the accuracy of data collection and reimbursement processes. B02.2 provides a clear distinction for cases with nervous system involvement, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. B02.2 provides a clear distinction for cases with nervous system involvement, which was less defined in ICD-9.

Resources

Clinical References

  • •
    CDC Guidelines on Herpes Zoster

Coding & Billing References

  • •
    CDC Guidelines on Herpes Zoster

Frequently Asked Questions

What are the common complications associated with herpes zoster?

Common complications include postherpetic neuralgia, herpes zoster ophthalmicus, and neurological conditions such as meningitis and encephalitis.