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ICD-10 Guide
ICD-10 CodesB02.32

B02.32

Zoster iridocyclitis

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

Code Description

ICD-10 B02.32 is a billable code used to indicate a diagnosis of zoster iridocyclitis.

Key Diagnostic Point:

Zoster iridocyclitis is an inflammatory condition of the iris and ciliary body that occurs as a complication of varicella-zoster virus (VZV) reactivation, commonly known as shingles. This condition typically presents with symptoms such as eye pain, redness, photophobia, and blurred vision. The inflammation is a result of the immune response to the viral particles that affect the ocular structures. Patients may have a history of herpes zoster, which is characterized by a painful rash that follows a dermatomal distribution. The risk of developing zoster iridocyclitis increases with age and in immunocompromised individuals. Diagnosis is primarily clinical, supported by patient history and ocular examination. Treatment often involves antiviral medications, corticosteroids to reduce inflammation, and symptomatic relief. Early recognition and management are crucial to prevent complications such as glaucoma or permanent vision loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of both ocular and viral pathology.
  • Differentiation from other types of uveitis.
  • Need for precise documentation of symptoms and history.
  • Potential for multiple related diagnoses complicating coding.

Audit Risk Factors

  • Inadequate documentation of ocular symptoms.
  • Failure to link the diagnosis to a history of herpes zoster.
  • Misclassification of the type of uveitis.
  • Lack of supporting clinical findings in the medical record.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed ocular examination findings, including visual acuity and intraocular pressure.

Common Clinical Scenarios

Patients presenting with eye pain and a history of shingles.

Billing Considerations

Documentation must clearly indicate the relationship between herpes zoster and ocular symptoms.

Infectious Disease

Documentation Requirements

History of varicella infection, vaccination status, and any immunocompromising conditions.

Common Clinical Scenarios

Patients with recurrent herpes zoster infections and associated complications.

Billing Considerations

Need to document the patient's immune status and any prior antiviral treatments.

Coding Guidelines

Inclusion Criteria

Use B02.32 When
  • Follow the official ICD
  • CM coding guidelines for infectious and parasitic diseases
  • Ensure accurate documentation of the condition's relationship to herpes zoster and any associated symptoms
  • Include any relevant history of vaccination against varicella

Exclusion Criteria

Do NOT use B02.32 When
No specific exclusions found.

Related CPT Codes

92002CPT Code

Ophthalmological services, new patient

Clinical Scenario

Used for initial evaluation of a patient presenting with zoster iridocyclitis.

Documentation Requirements

Complete eye examination notes, including visual acuity and intraocular pressure.

Specialty Considerations

Ophthalmologists should ensure thorough documentation of ocular findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like zoster iridocyclitis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like zoster iridocyclitis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Ophthalmology

Coding & Billing References

  • •
    American Academy of Ophthalmology

Frequently Asked Questions

What are the common symptoms of zoster iridocyclitis?

Common symptoms include eye pain, redness, photophobia, and blurred vision, often accompanied by a history of shingles.

How is zoster iridocyclitis treated?

Treatment typically involves antiviral medications, corticosteroids to reduce inflammation, and symptomatic relief measures.