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2025 ICD-10-CM code A60.1

Herpesviral infection of the perianal skin and rectum.

Use additional codes to identify any drug resistance or complications. If HIV screening is performed due to the herpes diagnosis, use the appropriate Z code.

Medical necessity for treatment of A60.1 is established by the presence of signs and symptoms of herpesviral infection, confirmed through clinical findings and/or laboratory tests.Treatment aims to alleviate symptoms, reduce viral shedding, and prevent complications.

Clinicians diagnose this condition based on patient history, physical examination, blood tests, viral cultures, and PCR testing. They manage the condition with antiviral medications, pain management, and may screen for HIV in diagnosed individuals.

In simple words: This condition refers to a herpes infection around the anus and rectum. It may cause blisters or sores, fever, pain, and other symptoms. While often caused by HSV-2, HSV-1 can also be responsible. Treatment usually involves antiviral medications, but the infection can recur.

This code signifies a herpesviral infection affecting the perianal skin and the rectum. It is primarily caused by herpes simplex virus 2 (HSV-2), but cases of herpes simplex virus 1 (HSV-1) are increasingly observed.Symptoms can range from asymptomatic to the presence of vesicular or ulcerative lesions, fever, nerve pain, painful bowel movements, mucus discharge, and enlarged lymph nodes. Diagnosis involves patient history, physical examination, blood tests, viral culture, and PCR. Treatment typically includes oral antiviral medications (acyclovir, valacyclovir, famciclovir), topical antivirals, and pain relievers.Recurrences are common, often leading to suppressive therapy.

Example 1: A patient presents with painful blisters and ulcers around the anus and rectum, along with fever and swollen lymph nodes.A60.1 is used to code the herpesviral infection., A patient with a history of genital herpes experiences a recurrence with lesions extending to the perianal area. A60.1 is used to document the infection site., During a routine pelvic exam, a patient is found to have asymptomatic herpesviral shedding in the perianal area confirmed by PCR. A60.1 is used for coding, despite the absence of active lesions.

Documentation should include the type of herpesvirus (if known), location and characteristics of lesions, associated symptoms (pain, fever, discharge), diagnostic test results (viral culture, PCR), and treatment plan.

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