2025 ICD-10-CM code B08.5
Enteroviral vesicular pharyngitis, also known as herpangina.
Medical necessity for herpangina is established by the presence of characteristic clinical signs and symptoms.As a self-limiting viral illness, treatment typically focuses on symptom management and preventing dehydration.
Clinicians diagnose herpangina based on the patient's history, physical examination, and characteristic symptoms. Laboratory tests like antibody detection, cell culture of a nasopharyngeal swab, and PCR can support the diagnosis. Treatment is primarily supportive, focusing on managing fever, pain, and ensuring adequate hydration.
- Certain infectious and parasitic diseases (A00-B99)
- Viral infections characterized by skin and mucous membrane lesions (B00-B09)
In simple words: Herpangina is a viral infection that causes small, painful blisters or sores in the back of your mouth and throat. It's common in children but can affect people of any age. Along with the sores, you might have a fever, sore throat, headache, and feel like you don't want to eat.
Enteroviral vesicular pharyngitis, also known as herpangina, is an acute viral illness caused by enteroviruses, primarily affecting young children but can occur in newborns, adolescents, and adults. It is characterized by small, blister-like sores or ulcers in the mouth and throat, particularly on the soft palate, tonsillar pillars, tonsils, uvula, or tongue. Symptoms include sudden fever, sore throat, headache, loss of appetite, and sometimes neck pain. The lesions typically progress from red macules to vesicles and then to shallow ulcers, usually healing within one to seven days.
Example 1: A 3-year-old child presents with sudden high fever, sore throat, and difficulty swallowing. Examination reveals small ulcers on the tonsils and soft palate. The diagnosis of herpangina is made based on clinical presentation., A 7-year-old child develops a fever, headache, and mouth sores during the summer.A physical exam shows characteristic herpangina lesions.The child is advised on supportive care and to avoid close contact with others to prevent transmission. , A 20-year-old adult experiences a sudden onset of fever, sore throat, and painful swallowing. Examination reveals small, blister-like lesions in the back of the throat, consistent with herpangina. Supportive care is recommended, including pain relief and hydration.
Documentation should include the location and appearance of the oral lesions, presence of fever, associated symptoms (e.g., sore throat, headache, loss of appetite), and any laboratory tests performed.
- Specialties:Pediatrics, Family Medicine, Infectious Disease
- Place of Service:Office, Urgent Care Facility, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home