Herpes zoster with other complications
ICD-10 B02.3 is a billable code used to indicate a diagnosis of herpes zoster with other complications.
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. In cases classified under B02.3, the herpes zoster is accompanied by other complications, which may include postherpetic neuralgia, secondary bacterial infections, or neurological complications such as encephalitis or myelitis. The risk of complications increases with age and in individuals with weakened immune systems. Vaccination against VZV is recommended for older adults to reduce the incidence and severity of herpes zoster and its complications. The clinical management of herpes zoster with complications often requires a multidisciplinary approach, including antiviral therapy, pain management, and possibly referral to specialists for neurological or dermatological evaluation. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed clinical history, including vaccination status and immune status.
Patients presenting with shingles and associated complications such as postherpetic neuralgia.
Consideration of patient age and immune status is crucial for accurate coding.
Neurological assessments and imaging results if complications involve the nervous system.
Patients with herpes zoster presenting with neurological symptoms such as encephalitis.
Documentation must clearly outline the neurological impact of herpes zoster.
Used for follow-up visits for patients with herpes zoster complications.
Documentation must include the patient's history, examination findings, and treatment plan.
Infectious disease specialists may require additional lab results.
Common complications include postherpetic neuralgia, secondary bacterial infections, and neurological complications such as encephalitis or myelitis.
