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v1.0.0
ICD-10 Guide
ICD-10 CodesB30

B30

Viral conjunctivitis

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

Code Description

ICD-10 B30 is a billable code used to indicate a diagnosis of viral conjunctivitis.

Key Diagnostic Point:

Viral conjunctivitis, commonly referred to as pink eye, is an inflammation of the conjunctiva caused by viral infections. The most prevalent viruses associated with this condition include adenoviruses, which are responsible for the majority of cases, as well as herpes simplex virus (HSV) and varicella-zoster virus (VZV). Symptoms typically include redness, itching, tearing, and discharge from the eye, which may be watery or mucous-like. Diagnosis is primarily clinical, based on the patient's history and physical examination, although laboratory tests such as conjunctival swabs may be utilized to identify the specific viral pathogen in atypical cases or when the diagnosis is uncertain. Treatment is generally supportive, focusing on symptom relief, as most cases resolve spontaneously within one to two weeks. Antiviral medications may be indicated in cases caused by HSV, particularly in immunocompromised patients or those with severe symptoms. Proper hygiene practices are essential to prevent the spread of the infection, especially in communal settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between viral and bacterial conjunctivitis
  • Identifying specific viral pathogens when necessary
  • Variability in symptoms and presentation
  • Potential for co-infections with other ocular conditions

Audit Risk Factors

  • Inadequate documentation of symptoms and duration
  • Failure to specify the viral etiology when known
  • Misclassification of viral conjunctivitis as bacterial
  • Lack of supporting clinical evidence for antiviral treatment

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed documentation of symptoms, examination findings, and any laboratory tests performed.

Common Clinical Scenarios

Patients presenting with acute onset of redness, tearing, and discharge, particularly in outbreak settings.

Billing Considerations

Consideration of potential complications, such as keratitis, especially in cases caused by HSV.

Primary Care

Documentation Requirements

Thorough history taking, including exposure history and symptom duration.

Common Clinical Scenarios

Patients with conjunctivitis symptoms who may require referral to an ophthalmologist.

Billing Considerations

Education on hygiene practices to prevent spread and the importance of follow-up if symptoms worsen.

Coding Guidelines

Inclusion Criteria

Use B30 When
  • According to ICD
  • 10 coding guidelines, B30 should be used when the conjunctivitis is confirmed to be viral in origin
  • It is important to document the specific viral etiology when known, and to differentiate from other types of conjunctivitis

Exclusion Criteria

Do NOT use B30 When
No specific exclusions found.

Related Codes

Child Codes

6 codes
B30.0
Conjunctivitis due to adenovirus
B30.1
Viral Conjunctivitis
B30.2
Viral conjunctivitis
B30.3
Infectious mononucleosis
B30.8
Other viral conjunctivitis
B30.9
Viral Conjunctivitis, unspecified

Related CPT Codes

92002CPT Code

Ophthalmological examination, new patient

Clinical Scenario

Used when a patient presents with symptoms of conjunctivitis for evaluation.

Documentation Requirements

Document the examination findings, including visual acuity and any relevant tests performed.

Specialty Considerations

Ophthalmologists may perform additional tests to confirm the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of viral conjunctivitis, enabling better tracking of epidemiological trends and treatment outcomes. This specificity aids in research and public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of viral conjunctivitis, enabling better tracking of epidemiological trends and treatment outcomes. This specificity aids in research and public health initiatives.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Ophthalmology - Conjunctivitis

Coding & Billing References

  • •
    American Academy of Ophthalmology - Conjunctivitis

Frequently Asked Questions

What is the most common cause of viral conjunctivitis?

Adenoviruses are the most common cause of viral conjunctivitis, often leading to outbreaks in communal settings.

How is viral conjunctivitis diagnosed?

Diagnosis is primarily clinical, based on symptoms and history, but laboratory tests can be used to confirm the viral pathogen if necessary.

What treatments are available for viral conjunctivitis?

Treatment is generally supportive, focusing on symptom relief. Antiviral medications may be used in cases caused by herpes simplex virus.

Can viral conjunctivitis be prevented?

Good hygiene practices, such as frequent handwashing and avoiding touching the eyes, can help prevent the spread of viral conjunctivitis.