ICD-10 Code B08.21 | Exanthema subitum [sixth disease] due to human herpesvirus 6 Symptoms, Diagnosis, Billing

Exanthema subitum, commonly known as sixth disease, is a viral infection primarily caused by human herpesvirus 6 (HHV-6). It predominantly affects infants and young children, presenting with high fever followed by a characteristic rash. Accurate coding with ICD-10 Code B08.21 is essential for proper diagnosis, documentation, and billing, facilitating effective public health reporting and ensuring appropriate treatment pathways.

What is ICD-10 Code B08.21 for Exanthema subitum [sixth disease] due to human herpesvirus 6?

ICD-10 Code B08.21 specifically identifies Exanthema subitum, or sixth disease, attributed to human herpesvirus 6. This code is utilized in clinical documentation when diagnosing patients with this viral infection, characterized by a sudden onset of fever followed by a rash. It is crucial for accurate billing and tracking of infectious diseases.

ICD-10 Code B08.21 – Clinical Definition and Explanation of Exanthema subitum [sixth disease] due to human herpesvirus 6

Exanthema subitum is an acute viral illness caused by human herpesvirus 6, primarily affecting children under two years of age. The condition typically begins with a high fever lasting 3-5 days, followed by the appearance of a rose-colored rash as the fever subsides. Medical attention is necessary to rule out other serious conditions and manage symptoms effectively.

Key Clinical Features:

• High fever (often >39°C) lasting 3-5 days.
• Subsequent appearance of a maculopapular rash after fever resolution.
• Rash typically starts on the trunk and spreads to the extremities.
• Mild respiratory symptoms may precede fever.
• Commonly affects infants and young children, with peak incidence between 6 months and 2 years.

ICD-10 Code B08.21 for Exanthema subitum [sixth disease] due to human herpesvirus 6 – SOAP Notes & Clinical Use

ICD-10 Code B08.21 is utilized in SOAP notes to document the clinical presentation, assessment, and management of patients with Exanthema subitum. This code aids in capturing the patient's symptoms, guiding treatment decisions, and ensuring accurate billing in both acute and chronic care settings.

What Does ICD-10 Code B08.21 for Exanthema subitum [sixth disease] due to human herpesvirus 6 Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B08.21 connects subjective reports of fever and rash with objective clinical findings, facilitating a formal diagnosis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B08.21 – Exanthema subitum [sixth disease] due to human herpesvirus 6

Management of Exanthema subitum focuses on symptomatic relief, as the condition is typically self-limiting. Hospitalization may be necessary in severe cases or for high-risk patients.

Antibiotic Therapy:

• Not applicable; viral infection does not require antibiotics.

Supportive Care:

• Hydration to prevent dehydration.
• Antipyretics such as acetaminophen for fever management.
• Monitoring for any complications.

Infection Control:

• Standard precautions to prevent spread.
• Educating caregivers on hygiene practices during outbreaks.

How to Document Symptoms of Exanthema subitum [sixth disease] due to human herpesvirus 6 (ICD-10 B08.21) in SOAP Notes

Subjective:

• Patient reports high fever for 3 days.
• Parent notes rash developed after fever subsided.
• No significant respiratory symptoms reported.
• Child appears irritable and fatigued.

Objective:

• Temperature: 39.5°C on examination.
• Rash observed on trunk and extremities, maculopapular in nature.
• No signs of respiratory distress.
• Generalized lymphadenopathy noted.

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SOAP Note Guidelines for Diagnosing Exanthema subitum [sixth disease] due to human herpesvirus 6 (ICD-10 Code B08.21)

Assessment:

• Diagnosis: Exanthema subitum (sixth disease), mild severity.
• ICD-10 Code: B08.21.
• Common triggers: Viral infection, typically self-limiting.
• No significant complications noted at this time.

Plan:

• Administer antipyretics for fever management.
• Encourage fluid intake to maintain hydration.
• Educate parents on monitoring for complications.
• Schedule follow-up in 1 week or sooner if symptoms worsen.

Treatment & Plan Section for ICD-10 Code B08.21 – Exanthema subitum [sixth disease] due to human herpesvirus 6

• First-line treatment includes antipyretics such as acetaminophen.
• Non-pharmacologic strategies include ensuring adequate hydration and rest.
• Monitoring for complications such as febrile seizures is essential.
• Follow-up appointments should be scheduled to reassess the patient's condition.

Using ICD-10 Code B08.21 for Exanthema subitum [sixth disease] due to human herpesvirus 6 in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical presentation and severity.
• Document symptoms clearly under Subjective (S) and Objective (O) sections.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Include relevant CPT codes for any additional services provided.

Related ICD-10 Codes Often Used with Exanthema subitum [sixth disease] due to human herpesvirus 6

• B08.20 – Exanthema subitum, unspecified
• B19.9 – Viral hepatitis, unspecified
• A87.9 – Viral meningitis, unspecified

ICD-10 Code B08.21 in Medical Billing and Insurance for Exanthema subitum [sixth disease] due to human herpesvirus 6

ICD-10 Code B08.21 is critical in medical billing, particularly in hospital, emergency room, or infectious disease settings.

Billing Notes:

• Ensure accurate documentation of symptoms and clinical findings to support the claim.
• Use this code in settings where viral infections are diagnosed and treated.
• Include key chart elements such as fever duration and rash characteristics.

Common CPT Pairings: