ICD-10 Code B02.31 | Zoster conjunctivitis Symptoms, Diagnosis, Billing

Zoster conjunctivitis is an ocular manifestation of varicella-zoster virus (VZV) reactivation, characterized by inflammation of the conjunctiva. It is clinically significant due to potential complications such as vision loss and corneal scarring. Accurate coding with ICD-10 Code B02.31 facilitates proper diagnosis, documentation, and billing, ensuring effective public health reporting and resource allocation.

What is ICD-10 Code B02.31 for Zoster conjunctivitis?

ICD-10 Code B02.31 specifically denotes Zoster conjunctivitis, an inflammation of the conjunctiva associated with the reactivation of the varicella-zoster virus. This code should be utilized in clinical documentation and billing when a patient presents with conjunctival symptoms linked to herpes zoster, ensuring accurate representation of the patient's condition and facilitating appropriate treatment.

ICD-10 Code B02.31 – Clinical Definition and Explanation of Zoster conjunctivitis

Zoster conjunctivitis occurs when the varicella-zoster virus, which causes chickenpox, reactivates and affects the conjunctiva. This condition can lead to significant ocular complications, necessitating prompt medical evaluation and intervention.

Key Clinical Features:

• Unilateral conjunctival redness and swelling
• Possible vesicular lesions on the eyelid or conjunctiva
• Ocular pain or discomfort
• Photophobia and tearing

ICD-10 Code B02.31 for Zoster conjunctivitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B02.31 is essential for documenting the diagnosis of Zoster conjunctivitis. It aids in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code B02.31 for Zoster conjunctivitis Mean in SOAP Notes?

ICD-10 Code B02.31 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Zoster conjunctivitis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B02.31 – Zoster conjunctivitis

Zoster conjunctivitis requires timely intervention to prevent complications. Hospitalization may be necessary in severe cases, and treatment focuses on managing symptoms and controlling the viral infection.

Antibiotic Therapy:

• Acyclovir: 800 mg five times daily for 7-10 days
• Valacyclovir: 1,000 mg three times daily for 7 days
• Famciclovir: 500 mg three times daily for 7 days

Supportive Care:

• Topical lubricants to relieve dryness
• Cold compresses to reduce inflammation
• Pain management with NSAIDs as needed

Infection Control:

• Practice good hand hygiene to prevent spread
• Isolate affected individuals during outbreaks
• Educate patients on avoiding contact with immunocompromised individuals

How to Document Symptoms of Zoster conjunctivitis (ICD-10 B02.31) in SOAP Notes

Subjective:

• Patient reports unilateral eye redness and irritation.
• Complains of increased tearing and sensitivity to light.
• History of recent herpes zoster rash on the forehead.
• Denies any prior eye infections or surgeries.

Objective:

• Conjunctival injection noted on examination.
• Presence of vesicular lesions on the eyelid.
• Visual acuity measured at 20/30 in the affected eye.
• No discharge or purulent material observed.

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 Zoster conjunctivitis (ICD-10 Code B02.31)

Assessment:

• Diagnosis: Zoster conjunctivitis, moderate severity.
• ICD-10 Code: B02.31.
• Contributing factors: Recent history of herpes zoster.
• No significant ocular history noted.

Plan:

• Initiate antiviral therapy with acyclovir.
• Advise on the use of topical lubricants.
• Schedule follow-up in one week to monitor progress.
• Educate patient on signs of complications requiring immediate care.

Treatment & Plan Section for ICD-10 Code B02.31 – Zoster conjunctivitis

• First-line antiviral treatment with acyclovir or valacyclovir.
• Topical lubricants to alleviate symptoms.
• Patient education on symptom management and follow-up care.
• Monitoring for potential complications such as keratitis.

Using ICD-10 Code B02.31 for Zoster conjunctivitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use B02.31 in appropriate clinical settings, including outpatient and inpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Zoster conjunctivitis

• B02.30 – Zoster without conjunctivitis
• B02.32 – Zoster keratitis
• B00.9 – Herpesviral infection, unspecified

ICD-10 Code B02.31 in Medical Billing and Insurance for Zoster conjunctivitis

ICD-10 Code B02.31 is critical in billing for Zoster conjunctivitis, particularly in hospital, ER, or infectious disease settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis.
• Use B02.31 in conjunction with appropriate CPT codes for antiviral therapy.
• Ensure compliance with payer-specific documentation requirements.
• Review coding guidelines to avoid denials and ensure accurate reimbursement.

Common CPT Pairings: