Eczema herpeticum is a viral infection characterized by the superinfection of atopic dermatitis with herpes simplex virus. It presents as vesicular lesions on an inflamed skin background, often leading to significant discomfort and potential complications. Accurate coding with ICD-10 Code B00.0 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 B00.0 for Eczema herpeticum?
ICD-10 Code B00.0 specifically denotes Eczema herpeticum, which occurs when the herpes simplex virus infects areas of skin affected by eczema. This code should be used in clinical documentation and billing when a patient presents with symptoms indicative of this viral superinfection, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.
ICD-10 Code B00.0 – Clinical Definition and Explanation of Eczema herpeticum
Eczema herpeticum is caused by the herpes simplex virus, typically type 1, which can infect skin that is already compromised by eczema. The condition can progress rapidly, leading to systemic symptoms and requiring prompt medical intervention to prevent complications such as secondary bacterial infections. Early recognition and treatment are crucial.
Key Clinical Features:
- Vesicular lesions on an erythematous base
- Pruritus and pain at the site of infection
- Possible fever and systemic symptoms
- History of atopic dermatitis or eczema
ICD-10 Code B00.0 for Eczema herpeticum – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code B00.0 is utilized to document the diagnosis of Eczema herpeticum, capturing the patient's symptoms, assessment findings, and treatment plan. This code is relevant in both acute and chronic care settings, facilitating comprehensive patient management.
What Does ICD-10 Code B00.0 for Eczema herpeticum Mean in SOAP Notes?
ICD-10 Code B00.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Eczema herpeticum. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code B00.0 – Eczema herpeticum
Eczema herpeticum requires prompt treatment to mitigate symptoms and prevent complications. Hospitalization may be necessary in severe cases.
Antibiotic Therapy:
- Acyclovir (first-line) for 7-10 days
- Valacyclovir (alternative) for 7-10 days
- Topical antiviral agents may be considered in mild cases
- Consider hospitalization for severe or extensive cases
Supportive Care:
- Cool compresses to relieve itching
- Topical corticosteroids to reduce inflammation
- Hydration and moisturization of the skin
- Pain management with analgesics
Infection Control:
- Isolate the patient during active lesions
- Educate on hand hygiene to prevent spread
- Avoid contact with individuals with eczema or immunocompromised status
- Use gloves when treating lesions
How to Document Symptoms of Eczema herpeticum (ICD-10 B00.0) in SOAP Notes
Subjective:
- Patient reports vesicular lesions on previously affected eczema areas
- Complaints of significant itching and discomfort
- History of recent herpes simplex virus exposure
- Patient expresses concern about potential complications
Objective:
- Vesicular lesions observed on examination
- Erythema and edema surrounding lesions
- Temperature of 100.4°F noted
- Lymphadenopathy present in regional nodes
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
SOAP Note Guidelines for Diagnosing Eczema herpeticum (ICD-10 Code B00.0)
Assessment:
- Diagnosis: Eczema herpeticum, moderate severity
- ICD-10 Code: B00.0
- Contributing factors: history of atopic dermatitis, recent viral exposure
- Monitor for secondary bacterial infection
Plan:
- Initiate antiviral therapy with Acyclovir
- Educate patient on symptom management and infection control
- Schedule follow-up in 1 week to assess treatment response
- Consider referral to dermatology if lesions worsen
Treatment & Plan Section for ICD-10 Code B00.0 – Eczema herpeticum
- First-line treatment with Acyclovir or Valacyclovir
- Topical corticosteroids for inflammation control
- Patient education on skin care and hygiene practices
- Regular follow-up to monitor for complications
Using ICD-10 Code B00.0 for Eczema herpeticum in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings
- Use B00.0 in conjunction with appropriate CPT codes for antiviral therapy
- Document patient education and follow-up plans clearly
- Align treatment plans with clinical guidelines for justified billing
Related ICD-10 Codes Often Used with Eczema herpeticum
- B00.1 – Herpes simplex virus infection, unspecified
- B00.2 – Herpes simplex virus infection of the eye
ICD-10 Code B00.0 in Medical Billing and Insurance for Eczema herpeticum
ICD-10 Code B00.0 is crucial for billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant symptoms and history to support the diagnosis
- Use B00.0 in appropriate clinical settings for accurate claims
- Ensure all chart elements align with coding requirements
- Maintain clear records of treatment plans and patient education
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, Level 3 |
| 87522 | Herpes simplex virus, qualitative, PCR |
| 99214 | Established patient office visit, Level 4 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B00.0 for Eczema herpeticum
What are the common symptoms of Eczema herpeticum?
Common symptoms include vesicular lesions on inflamed skin, significant itching, pain, and sometimes systemic symptoms like fever. Patients may also report a history of eczema.
How is Eczema herpeticum treated?
Treatment typically involves antiviral medications such as Acyclovir, along with supportive care measures like cool compresses and topical corticosteroids to manage inflammation.
Is Eczema herpeticum contagious?
Yes, Eczema herpeticum is contagious, especially when lesions are present. It is important to practice good hygiene and avoid close contact with others during outbreaks.
When should a patient with Eczema herpeticum seek medical attention?
Patients should seek medical attention if they experience worsening symptoms, signs of secondary infection, or if the lesions do not improve with initial treatment.
