ICD-10 Code A60.01 | Herpesviral infection of penis Symptoms, Diagnosis, Billing

Herpesviral infection of the penis is caused by the herpes simplex virus (HSV), primarily HSV-2. This sexually transmitted infection can lead to painful lesions, itching, and discomfort. Accurate coding with ICD-10 Code A60.01 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code A60.01 for Herpesviral infection of penis?

ICD-10 Code A60.01 represents a herpesviral infection localized to the penis, typically caused by HSV-2. This code should be used when documenting cases of genital herpes, particularly when lesions or symptoms are present on the penis. Accurate use of this code in clinical documentation and billing is crucial for appropriate patient management and reimbursement.

ICD-10 Code A60.01 – Clinical Definition and Explanation of Herpesviral infection of penis

Herpesviral infection of the penis is primarily caused by the herpes simplex virus type 2 (HSV-2), which is transmitted through sexual contact. The condition can lead to recurrent outbreaks of painful sores and requires medical attention to manage symptoms and prevent transmission.

Key Clinical Features:

• Painful vesicular lesions on the penis.
• Itching and burning sensations in the genital area.
• Flu-like symptoms during initial outbreak, including fever and lymphadenopathy.
• Recurrent episodes may occur, often triggered by stress or immunosuppression.

ICD-10 Code A60.01 for Herpesviral infection of penis – SOAP Notes & Clinical Use

ICD-10 Code A60.01 is utilized in SOAP notes to document the presence of herpesviral infection of the penis. It plays a vital role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code A60.01 for Herpesviral infection of penis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A60.01 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of herpesviral infection of the penis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A60.01 – Herpesviral infection of penis

Management of herpesviral infection of the penis focuses on alleviating symptoms and preventing outbreaks. Hospitalization may be necessary in severe cases or for complications.

Antibiotic Therapy:

• Acyclovir: 400 mg orally three times daily for 7-10 days.
• Valacyclovir: 1 g orally twice daily for 7-10 days.
• Famciclovir: 250 mg orally three times daily for 7-10 days.

Supportive Care:

• Pain management with analgesics.
• Topical treatments to soothe lesions.
• Hydration and rest to support recovery.

Infection Control:

• Educate patients on safe sexual practices.
• Encourage the use of condoms to reduce transmission risk.
• Advise against sexual activity during outbreaks.

How to Document Symptoms of Herpesviral infection of penis (ICD-10 A60.01) in SOAP Notes

Subjective:

• Patient reports painful sores on the penis.
• Complaints of itching and burning sensations.
• History of previous herpes outbreaks.
• Recent sexual activity with a new partner.

Objective:

• Physical examination reveals vesicular lesions on the glans.
• Lymphadenopathy noted in the inguinal region.
• No fever or systemic signs of infection observed.
• Negative results for other sexually transmitted infections.

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SOAP Note Guidelines for Diagnosing Herpesviral infection of penis (ICD-10 Code A60.01)

Assessment:

• Diagnosis: Herpesviral infection of penis, acute episode.
• ICD-10 Code: A60.01.
• Contributing factors: Recent sexual activity and stress.
• Severity: Moderate, with significant discomfort.

Plan:

• Initiate antiviral therapy with acyclovir.
• Educate patient on symptom management and outbreak prevention.
• Schedule follow-up in one week to assess treatment response.
• Consider referral to a specialist if symptoms persist.

Treatment & Plan Section for ICD-10 Code A60.01 – Herpesviral infection of penis

• First-line antiviral treatment with acyclovir or valacyclovir.
• Patient education on the nature of the infection and outbreak management.
• Monitoring for recurrence and effectiveness of treatment.
• Follow-up appointments to reassess symptoms and adjust treatment as necessary.

Using ICD-10 Code A60.01 for Herpesviral infection of penis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use the code in conjunction with appropriate CPT codes for billing related to evaluation and management.
• Maintain compliance with clinical guidelines to support justified billing.
• Document patient education and follow-up plans to enhance care continuity.

Related ICD-10 Codes Often Used with Herpesviral infection of penis

• A60.00 – Herpesviral infection, unspecified
• A60.02 – Herpesviral infection of other sites
• A60.03 – Herpesviral infection of the anus
• A60.04 – Herpesviral infection of the vulva

ICD-10 Code A60.01 in Medical Billing and Insurance for Herpesviral infection of penis

ICD-10 Code A60.01 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and symptoms to support the use of this code.
• Ensure the code is used in appropriate clinical settings for accurate reimbursement.
• Include detailed notes on treatment plans and patient education to justify claims.
• Verify that all documentation aligns with coding guidelines for compliance.

Common CPT Pairings: