ICD-10 Code B00.53 | Herpesviral conjunctivitis Symptoms, Diagnosis, Billing

Herpesviral conjunctivitis is an ocular infection caused by the herpes simplex virus, leading to inflammation of the conjunctiva. Clinically significant due to its potential to cause vision impairment, accurate coding with ICD-10 Code B00.53 is essential for proper diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code B00.53 for Herpesviral conjunctivitis?

ICD-10 Code B00.53 specifically denotes herpesviral conjunctivitis, an infection characterized by conjunctival inflammation due to the herpes simplex virus. This code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring accurate representation of the underlying viral infection.

ICD-10 Code B00.53 – Clinical Definition and Explanation of Herpesviral conjunctivitis

Herpesviral conjunctivitis is primarily caused by the herpes simplex virus, which can lead to significant ocular complications if untreated. The condition often presents with redness, discharge, and discomfort, necessitating prompt medical attention to prevent vision loss.

Key Clinical Features:

• Redness and swelling of the conjunctiva
• Watery or purulent discharge
• Photophobia and eye discomfort
• Possible corneal involvement leading to keratitis

ICD-10 Code B00.53 for Herpesviral conjunctivitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B00.53 is utilized to document the diagnosis of herpesviral conjunctivitis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings.

What Does ICD-10 Code B00.53 for Herpesviral conjunctivitis Mean in SOAP Notes?

ICD-10 Code B00.53 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of herpesviral conjunctivitis, ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B00.53 – Herpesviral conjunctivitis

Herpesviral conjunctivitis requires prompt treatment to mitigate complications. Hospitalization may be necessary in severe cases, particularly if corneal involvement occurs.

Antibiotic Therapy:

• Acyclovir 400 mg orally three times daily for 7-10 days
• Valacyclovir 1 g orally twice daily for 7-10 days
• Topical antiviral drops may be considered in severe cases

Supportive Care:

• Cold compresses to alleviate discomfort
• Artificial tears to relieve dryness
• Avoidance of contact lenses during the infection

Infection Control:

• Hand hygiene to prevent spread
• Avoid sharing personal items like towels
• Educate patients on the contagious nature of the virus

How to Document Symptoms of Herpesviral conjunctivitis (ICD-10 B00.53) in SOAP Notes

Subjective:

• Patient reports redness and irritation in the right eye
• Complains of increased tearing and discharge
• History of recurrent herpes simplex infections
• Photophobia noted during the examination

Objective:

• Conjunctival injection observed in the right eye
• Purulent discharge noted upon examination
• Visual acuity tested at 20/30 in the affected eye
• No corneal opacity detected on slit lamp examination

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SOAP Note Guidelines for Diagnosing Herpesviral conjunctivitis (ICD-10 Code B00.53)

Assessment:

• Diagnosis: Herpesviral conjunctivitis, moderate severity
• ICD-10 Code: B00.53
• Triggers: Recent history of herpes simplex virus reactivation
• Complications: Risk of corneal involvement if untreated

Plan:

• Initiate antiviral therapy with Acyclovir 400 mg orally three times daily
• Educate patient on the importance of hand hygiene
• Schedule follow-up in one week to monitor progress
• Consider referral to ophthalmology if symptoms worsen

Treatment & Plan Section for ICD-10 Code B00.53 – Herpesviral conjunctivitis

• First-line antiviral treatment with Acyclovir or Valacyclovir
• Supportive care including cold compresses and artificial tears
• Patient education on hygiene and symptom management
• Regular follow-up to monitor for complications

Using ICD-10 Code B00.53 for Herpesviral conjunctivitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings under Subjective (S) and Objective (O)
• Use B00.53 in conjunction with appropriate CPT codes for antiviral therapy
• Document patient education and follow-up plans to support billing
• Align treatment plans with clinical guidelines for justified billing

Related ICD-10 Codes Often Used with Herpesviral conjunctivitis

• B00.51 – Herpesviral keratitis
• B00.52 – Herpesviral blepharitis

ICD-10 Code B00.53 in Medical Billing and Insurance for Herpesviral conjunctivitis

ICD-10 Code B00.53 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and history to support the diagnosis
• Use B00.53 in appropriate clinical settings for accurate claims
• Ensure all chart elements align with the diagnosis for compliance
• Maintain clear communication with billing departments regarding coding

Common CPT Pairings: