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ICD-10 Guide
ICD-10 CodesB02.39

B02.39

Other herpes zoster eye disease

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

Code Description

ICD-10 B02.39 is a billable code used to indicate a diagnosis of other herpes zoster eye disease.

Key Diagnostic Point:

Herpes zoster, commonly known as shingles, is caused by the reactivation of the varicella-zoster virus (VZV), which also causes chickenpox. When the virus reactivates, it can lead to a painful rash and can affect various parts of the body, including the eyes. Other herpes zoster eye diseases encompass a range of ocular complications that can arise from this viral infection, including keratitis, uveitis, and conjunctivitis. These conditions can lead to significant morbidity, including vision loss if not promptly diagnosed and treated. Symptoms may include redness, pain, tearing, and sensitivity to light. Diagnosis is typically made through clinical evaluation, and in some cases, laboratory tests may be necessary to confirm the presence of VZV. Treatment often involves antiviral medications, corticosteroids, and pain management strategies. Vaccination against VZV is recommended for older adults to reduce the risk of herpes zoster and its complications, including those affecting the eye.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of ocular manifestations requiring specific documentation
  • Need for differentiation from other eye diseases
  • Potential for co-occurring conditions complicating diagnosis
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of ocular symptoms
  • Failure to document vaccination status
  • Misclassification of the type of herpes zoster
  • Lack of clarity in distinguishing between herpes zoster and other viral infections

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed documentation of ocular symptoms, visual acuity tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with eye pain, redness, and visual disturbances following a herpes zoster outbreak.

Billing Considerations

Ensure comprehensive documentation of all ocular findings and treatments to support coding.

Infectious Disease

Documentation Requirements

Thorough history of varicella vaccination, clinical presentation, and treatment response.

Common Clinical Scenarios

Patients with systemic herpes zoster who develop ocular complications.

Billing Considerations

Document any co-morbid conditions that may affect treatment and outcomes.

Coding Guidelines

Inclusion Criteria

Use B02.39 When
  • According to ICD
  • 10 guidelines, B02
  • 39 should be used when the specific type of herpes zoster eye disease does not fit into more defined categories
  • It is essential to document the specific ocular manifestations and any relevant history of varicella vaccination

Exclusion Criteria

Do NOT use B02.39 When
No specific exclusions found.

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive

Clinical Scenario

Used for follow-up examinations of patients with herpes zoster eye disease.

Documentation Requirements

Document visual acuity, ocular findings, and treatment plans.

Specialty Considerations

Ophthalmologists should ensure thorough documentation to support the complexity of the case.

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 eye diseases, improving the accuracy of data collection and reimbursement processes. It provides a clearer understanding of the various manifestations of herpes zoster, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of herpes zoster eye diseases, improving the accuracy of data collection and reimbursement processes. It provides a clearer understanding of the various manifestations of herpes zoster, facilitating better patient management.

Reimbursement & Billing Impact

reimbursement processes. It provides a clearer understanding of the various manifestations of herpes zoster, facilitating better patient management.

Resources

Clinical References

  • •
    CDC Guidelines on Herpes Zoster

Coding & Billing References

  • •
    CDC Guidelines on Herpes Zoster

Frequently Asked Questions

What are the common symptoms of herpes zoster eye disease?

Common symptoms include eye pain, redness, tearing, sensitivity to light, and blurred vision. Patients may also experience a rash in the affected area.