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’.
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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