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ICD-10 Coding for Herpes Simplex Virus in Pregnancy(O26.43, O26.2, O26.4)

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Learn about ICD-10 coding for herpes simplex virus in pregnancy, including active infection and history coding guidelines.

Also known as:
HSV in PregnancyGenital Herpes in Pregnancy
Related ICD-10 Code Ranges

Complete code families applicable to Herpes Simplex Virus in Pregnancy

O00-O9APrimary Range

Pregnancy, childbirth and the puerperium

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
O26.43Herpes gestationis, third trimester
Z86.59Personal history of other diseases of the genitourinary system
Primary ICD-10-CM Codes
Herpes gestationis, third trimester
O26.43Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Maternal care for other infectionsO26.2

Use for other infections complicating pregnancy not specifically herpes.

Herpes gestationis, third trimesterO26.43

Use when active infection is present.

Documentation & Coding Risks

Avoid these common issues when documenting Herpes Simplex Virus in Pregnancy.

Omitting gestational age in documentation

Impact

Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues

Mitigation

Always include gestational age in weeks, Use templates to ensure completeness

Coding asymptomatic history as active infection

Impact

Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Use Z86.59 for history without current symptoms.

Incorrect use of active infection codes

Impact

Using O26.43 for historical HSV cases.

Mitigation

Ensure documentation supports active infection.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with O26.43.