ICD-10: Expect to Expand Your Herpes Zoster Complication Options
Posted on 08. Feb, 2012 by rpandit in Hot Coding Topics, ICD-10
Learn how to report these codes using these five examples.
You may be faced with a situation where the neurological complication after an episode of herpes zoster may involve a nerve, a ganglion, or a segment of the spinal cord. And you may encounter patients with localized numbness and even conditions like a hemiplegia. Read on to know what changes you can expect when reporting postherpetic neurological complications in ICD-10.
Code 053.1x for other nervous system complications in Herpes zoster, encompasses six codes in ICD-9 (053.10 to 053.19). These complications refer to conditions other than meningitis in Herpes zoster.
Complications in Herpes zoster
Neurological complications in Herpes zoster are common of which meningitis is a major complication. Meningitis in Herpes zoster is reported with ICD-9 code 053.0 (Herpes zoster with meningitis). This corresponds to code B02.1 (Zoster meningitis) in ICD-10.
There are many other neurological complications possible with Herpes zoster; these include polyneuropathy, myelitis, and ganglionitis. There are other conditions of the nervous system that do not fall under these categories and are collectively reported as ‘other’ or ‘unspecified’.
ICD-9/ICD-10 Crosswalk
Look at the table below and compare the codes for neurological complications of Herpes zoster.
A one-on-one of codes in ICD-9 and ICD-10 reflect some changes in ICD-10 in codes for these conditions.
1. Codes 053.10 and 053.19 in ICD-9 match to code B02.29.
2. Codes 053.11 and 053.14 have a change in terminology from ‘Herpes zoster’ to ‘Postherpetic’.
3. Codes 053.12 and 053.13 reflect no change in descriptors.
Get Specific in ICD-10
In codes B02.29, B02.21, and B02.24, there is a change in descriptor from ‘Herpes zoster’ in the ICD-9 descriptors to ‘postherpetic’ in the ICD-10 descriptors.
The complications like myelitis, geniculate ganglionitis, and other nervous system involvements develop after the rash of the herpetic infection. Hence, the...
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