ICD-10 Update: Look Forward to Expand Your Coding Possibilities for Non-meningitic Complications of Herpes Zoster
Article by James Smith
Report the myelopathy, ganglionitis, neuropathy, as well as unspecified neurological complications. You may be challenged with a situation where the neurological difficulty after an occurrence of herpes zoster may include a nerve, a ganglion, or a section of the spinal cord. And you may come across patients with localized numbness and even situations like a hemiplegia. Read on to know what ICD-9 codes modifications you can anticipate while reporting postherpetic neurological problems in ICD-10. Code 053.1x for other nervous system difficulties in Herpes zoster, includes six ICD-9 codes (053.10 to 053.19). These complications denote conditions excluding meningitis in this. Difficulties in Herpes zoster Neurological complications in Herpes zoster are common of which meningitis is a major complication. Meningitis in Herpes zoster is reported with ICD-9 code 053.0 (Herpes zoster with meningitis). This ICD-9 code corresponds to code B02.1 (Zoster meningitis) in ICD-10. There are a lot of other neurological complications possible with this; these involve polyneuropathy, myelitis, and ganglionitis. There are further conditions of the nervous system that do not come under these types and are collectively reported as ‘other’ or ‘unspecified’. A one-on-one of codes in ICD-9 and ICD-10 reveal some changes in ICD-10 in codes for these conditions. 1. ICD-9 codes 053.10 and 053.19 match to code B02.29. 2. ICD-9 codes 053.11 and 053.14 have a change in terminology from ‘Herpes zoster’ to ‘Postherpetic’. 3. ICD-9 codes 053.12 and 053.13 reveal no change in descriptors. Get Specific in ICD-10 In codes B02.29, B02.21, and B02.24, there is a definite change in descriptor from ‘Herpes zoster’ in the ICD-9 descriptors to ‘postherpetic’ in the ICD-10 descriptors. The further complications like myelitis, geniculate ganglionitis, and further nervous system involvements grow after the rash of the herpetic infection. Henceforth, the ICD-10 descriptors are more detailed. Learn From Examples Take a look at the scenarios listed below for the neurological complications in Herpes zoster and discover how you’ll narrow down to the precise code for these conditions in ICD-10. Example 1: In case you read that the patient developed a hemiparesis following an episode of its infection, you will go to code B02.29 in ICD-10. This obviously does not fall in any other specific category of complications. Example 2: In case your physician reports an erythematous vesicular rash around the ear as well as a mucosal rash in the oropharynx accompanied by a facial palsy with a sideways shift in the angle of the mouth, you approve that this is a diagnosis of geniculate ganglionitis. You may furthermore see that the patient also reported nystagmus or tinnitus. In this case, you will report ICD-10 code B02.21 for accurate medical coding. Example 3: In case you read that the patient complained of pain in the jaw and cheeks and reported electric shock-like stabs subsequent to having developed a skin rash in the past, you approve that the trigeminal nerve has been affected and report B02.22 and ensure precise medical coding.
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