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2025 ICD-10-CM code B00.89

Other herpesviral infection. This code is used for herpesviral infections not otherwise specified, such as herpetic whitlow or HSV esophagitis.

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Do not use this code for conditions already specifically coded in ICD-10-CM (e.g., congenital herpes, anogenital herpes).

Medical necessity should be supported by the diagnosis of a herpesviral infection not classified elsewhere. Document the patient's symptoms, the impact on their function, and the treatment plan.

Clinicians diagnose the condition based on patient history, physical examination, blood tests, viral culture, and PCR. Treatment includes oral antiviral drugs (acyclovir, valacyclovir, famciclovir), topical antivirals, and pain relievers.

In simple words: This code signifies a herpes infection that isn't a cold sore, genital herpes, or some other specific herpes infection. Examples include a herpes infection of the finger (whitlow) or esophagus (the tube connecting the mouth and stomach).

This ICD-10-CM code represents any herpesviral infection not specifically classified elsewhere. It encompasses conditions like herpetic whitlow (a herpes infection of the fingers or thumbs) and HSV esophagitis (herpes simplex virus infection of the esophagus). It excludes congenital herpesviral infections (P35.2), anogenital herpesviral infection (A60.-), gammaherpesviral mononucleosis (B27.0-), and herpangina (B08.5).

Example 1: A patient presents with painful, blistering lesions on their finger, diagnosed as herpetic whitlow. B00.89 is used., An immunocompromised patient experiences difficulty swallowing and is diagnosed with HSV esophagitis via endoscopy and biopsy. B00.89 is applied., A patient with a history of herpes simplex presents with lesions in an atypical location, not fitting other herpesviral infection categories. B00.89 is appropriate.

Documentation should include the type and location of the lesion, diagnostic methods used (e.g., physical exam, viral culture, PCR), and any associated symptoms.

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