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ICD-10 Guide
ICD-10 CodesB08.04

B08.04

Paravaccinia, unspecified

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

Code Description

ICD-10 B08.04 is a billable code used to indicate a diagnosis of paravaccinia, unspecified.

Key Diagnostic Point:

Paravaccinia is a viral infection caused by the vaccinia virus, which is closely related to the variola virus that causes smallpox. It is primarily associated with individuals who have been vaccinated against smallpox, particularly in the context of occupational exposure, such as in veterinary settings or laboratories. The infection can manifest as a localized skin lesion that resembles vaccinia but does not have the same systemic implications as smallpox. Symptoms may include fever, malaise, and localized swelling or lesions at the site of infection. The condition is typically self-limiting, but in immunocompromised individuals, it can lead to more severe complications. Diagnosis is often made based on clinical presentation and history of vaccination. Treatment is generally supportive, focusing on symptom relief. Understanding paravaccinia is crucial for healthcare providers, especially in the context of vaccination programs and potential outbreaks, as it may present similarly to other viral infections.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of vaccination history and exposure risks.
  • Differentiation from other viral infections can be challenging.
  • Documentation must clearly indicate the relationship to vaccination.
  • Potential for complications in immunocompromised patients adds complexity.

Audit Risk Factors

  • Inadequate documentation of vaccination history.
  • Misdiagnosis due to similarity with other viral infections.
  • Failure to note immunocompromised status of the patient.
  • Lack of clarity in clinical notes regarding the nature of the lesions.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, vaccination status, and clinical findings.

Common Clinical Scenarios

Patients presenting with skin lesions post-vaccination.

Billing Considerations

Consideration of patient’s immune status and potential complications.

Dermatology

Documentation Requirements

Photographic evidence of lesions, detailed descriptions of skin findings.

Common Clinical Scenarios

Evaluation of skin lesions that may be confused with other viral exanthems.

Billing Considerations

Differentiation from other dermatological conditions is crucial.

Coding Guidelines

Inclusion Criteria

Use B08.04 When
  • According to ICD
  • 10 guidelines, paravaccinia is classified under viral infections
  • Coders must ensure that the diagnosis is supported by clinical documentation, including vaccination history and symptomatology

Exclusion Criteria

Do NOT use B08.04 When
  • Exclusion criteria include other viral infections that may present similarly

Related CPT Codes

90716CPT Code

Vaccination against smallpox

Clinical Scenario

When a patient presents with paravaccinia after vaccination.

Documentation Requirements

Record vaccination date and any adverse reactions.

Specialty Considerations

Infectious disease specialists should document the vaccination history thoroughly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of viral infections like paravaccinia, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation regarding vaccination history.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of viral infections like paravaccinia, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation regarding vaccination history.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of detailed documentation regarding vaccination history.

Resources

Clinical References

  • •
    CDC Vaccination Guidelines

Coding & Billing References

  • •
    CDC Vaccination Guidelines

Frequently Asked Questions

What is paravaccinia?

Paravaccinia is a viral infection caused by the vaccinia virus, typically associated with individuals who have been vaccinated against smallpox. It presents with localized lesions and systemic symptoms.

How is paravaccinia diagnosed?

Diagnosis is based on clinical presentation, vaccination history, and exclusion of other similar viral infections.

What are the complications of paravaccinia?

While generally self-limiting, paravaccinia can lead to more severe complications in immunocompromised individuals, necessitating careful monitoring.