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ICD-10 Guide
ICD-10 CodesB08.60

B08.60

Parapoxvirus infection, unspecified

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

Code Description

ICD-10 B08.60 is a billable code used to indicate a diagnosis of parapoxvirus infection, unspecified.

Key Diagnostic Point:

Parapoxvirus infections are caused by a group of viruses belonging to the Poxviridae family, which primarily infects animals but can also affect humans. The most common manifestations in humans include lesions resembling those of other poxviruses, such as orf and milker's nodule. These infections are typically associated with direct contact with infected animals, particularly sheep and goats, or contaminated materials. Symptoms may include localized skin lesions, fever, and lymphadenopathy. The lesions are usually self-limiting and resolve without specific antiviral treatment. However, in immunocompromised individuals, the infection can lead to more severe complications. Vaccination against parapoxvirus is not routinely available, but preventive measures include avoiding contact with infected animals and practicing good hygiene. Understanding the clinical presentation and potential complications is crucial for accurate diagnosis and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Overlap with other viral infections in symptoms
  • Limited awareness and documentation of parapoxvirus infections
  • Need for thorough patient history to establish exposure

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Misdiagnosis due to symptom overlap with other infections
  • Failure to specify the type of parapoxvirus infection
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure assessment, and clinical findings.

Common Clinical Scenarios

Patients presenting with skin lesions after contact with livestock.

Billing Considerations

Consideration of immunocompromised status and potential for severe disease.

Dermatology

Documentation Requirements

Photographic evidence of lesions, detailed description of lesion characteristics.

Common Clinical Scenarios

Patients with atypical skin lesions that may resemble other viral infections.

Billing Considerations

Differentiation from other dermatological conditions and poxvirus infections.

Coding Guidelines

Inclusion Criteria

Use B08.60 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's clinical presentation and exposure history

Exclusion Criteria

Do NOT use B08.60 When
  • Exclude codes for other specific poxvirus infections unless confirmed

Related CPT Codes

87205CPT Code

Viral culture, any source

Clinical Scenario

When a viral culture is performed to confirm the diagnosis of a parapoxvirus infection.

Documentation Requirements

Document the reason for the culture and the clinical findings leading to the test.

Specialty Considerations

Infectious disease specialists may require additional laboratory results for comprehensive management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of parapoxvirus infections, improving data accuracy and facilitating better tracking of viral infections.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of parapoxvirus infections, improving data accuracy and facilitating better tracking of viral infections.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of parapoxvirus infections, improving data accuracy and facilitating better tracking of viral infections.

Resources

Clinical References

  • •
    CDC - Poxvirus Infections

Coding & Billing References

  • •
    CDC - Poxvirus Infections

Frequently Asked Questions

What are the common symptoms of parapoxvirus infection?

Common symptoms include localized skin lesions, fever, and lymphadenopathy, often following exposure to infected animals.

How is parapoxvirus infection diagnosed?

Diagnosis is primarily clinical, based on the appearance of lesions and patient history of exposure. Laboratory tests may be used for confirmation.