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v1.0.0
ICD-10 Guide
ICD-10 CodesB60

B60

B60 - Genital herpes

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

Code Description

ICD-10 B60 is a billable code used to indicate a diagnosis of b60 - genital herpes.

Key Diagnostic Point:

Genital herpes is a sexually transmitted infection caused primarily by the herpes simplex virus (HSV), most commonly HSV type 2, although HSV type 1 can also cause genital infections. The condition is characterized by painful blisters or sores in the genital area, which can recur periodically. Initial infection may present with flu-like symptoms, including fever and swollen lymph nodes, followed by the appearance of vesicular lesions. The virus remains dormant in the body and can reactivate, leading to recurrent outbreaks. Diagnosis is typically made through clinical evaluation and can be confirmed with laboratory tests, including viral cultures or polymerase chain reaction (PCR) tests. Treatment focuses on managing symptoms and reducing the frequency of outbreaks, often utilizing antiviral medications such as acyclovir, valacyclovir, or famciclovir. Education on safe sexual practices is crucial to prevent transmission. While genital herpes is a lifelong condition, effective management can significantly improve the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for accurate differentiation between HSV types
  • Potential for co-infection with other STIs
  • Documentation of recurrent episodes versus initial outbreak

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to specify the type of herpes virus
  • Misclassification of initial versus recurrent episodes
  • Lack of patient education documentation

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including sexual history and previous outbreaks.

Common Clinical Scenarios

Management of recurrent genital herpes and complications.

Billing Considerations

Consideration of co-infections and patient education on transmission.

Obstetrics/Gynecology

Documentation Requirements

Documentation of symptoms, treatment plans, and patient counseling.

Common Clinical Scenarios

Pregnant patients with a history of genital herpes.

Billing Considerations

Impact of herpes on pregnancy and delivery methods.

Coding Guidelines

Inclusion Criteria

Use B60 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type of herpes virus and the nature of the episode (initial or recurrent)
  • infection is documented

Exclusion Criteria

Do NOT use B60 When
  • Exclude codes for other viral infections unless co

Related Codes

Child Codes

14 codes
B60.0
B60.0 - Plasmodium falciparum malaria
B60.00
Babesiosis, unspecified
B60.01
Babesiosis due to Babesia microti
B60.02
Babesiosis due to Babesia duncani
B60.03
Babesiosis due to Babesia divergens
B60.09
Other babesiosis
B60.1
B60.1 - Malignant malaria
B60.10
Acanthamebiasis, unspecified
B60.11
Meningoencephalitis due to Acanthamoeba (culbertsoni)
B60.12
Conjunctivitis due to Acanthamoeba
B60.13
Keratoconjunctivitis due to Acanthamoeba
B60.19
Other acanthamebic disease
B60.2
Scabies
B60.8
Other specified protozoal diseases

Related CPT Codes

87522CPT Code

Herpes simplex virus (HSV) typing

Clinical Scenario

Used when confirming the type of herpes virus in a patient with genital lesions.

Documentation Requirements

Document the reason for testing and the patient's clinical presentation.

Specialty Considerations

Infectious disease specialists may require more detailed patient history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of genital herpes, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of the type of herpes virus and the nature of the episode.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of genital herpes, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of the type of herpes virus and the nature of the episode.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation of the type of herpes virus and the nature of the episode.

Resources

Clinical References

  • •
    CDC - Genital Herpes

Coding & Billing References

  • •
    CDC - Genital Herpes

Frequently Asked Questions

What is the difference between HSV-1 and HSV-2?

HSV-1 is typically associated with oral herpes, while HSV-2 is primarily linked to genital herpes. However, both types can cause infections in either area.