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A60.00 ICD-10-CM Code: Herpesviral infection of urogenital system, unspecified

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Infections with a predominantly sexual mode of transmission (A50-A64)

A60.00

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Herpesviral infection of urogenital system, unspecified

This code describes a herpes simplex virus infection affecting the urinary or reproductive system when the specific location or type has not been determined. It's a sexually transmitted infection caused by the herpes simplex virus that affects genital or urinary organs.

CMS-HCC V28

N/A

—

Not mapped

CMS-HCC V24

N/A

—

Not mapped

ACA/HHS

N/A

—

Not mapped

ESRD/PACE

N/A

—

Not mapped

RXHCC

N/A

—

Not mapped

Code Book Path

Official
A60Anogenital herpesviral [herpes simplex] infections
A60.0Herpesviral infection of genitalia and urogenital tract
A60.00Herpesviral infection of urogenital system, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A60.00 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A60.00 in this effective period.

Related Child Codes

Official
A60.01Herpesviral infection of penis
A60.02Herpesviral infection of other male genital organs
A60.03Herpesviral cervicitis
A60.04Herpesviral vulvovaginitis
A60.09Herpesviral infection of other urogenital tract

Includes

Official

ICD-10-CM does not list Includes notes for A60.00 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A60.00 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A60.00 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A60.00 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A60.00 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this unspecified code only when documentation does not specify the exact site (such as cervix, urethra, or other urogenital structures); if the site is documented, use a more specific A60.0x code
Verify whether the infection is HSV-1 or HSV-2 if documented, as this may affect treatment and counseling; also check for recurrent vs. initial episode documentation to support appropriate code selection

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is A60.00 an HCC code?

No. A60.00 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A60.00
Description
Herpesviral infection of urogenital system, unspecified
HCC (V28)
No CMS-HCC V28 mapping
RAF
—
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A60.00 is the ICD-10-CM diagnosis code for herpesviral infection of urogenital system, unspecified. This code describes a herpes simplex virus infection affecting the urinary or reproductive system when the specific location or type has not been determined. It's a sexually transmitted infection caused by the herpes simplex virus that affects genital or urinary organs. A60.00 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering infections with a predominantly sexual mode of transmission (a50-a64).

A60.00 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this unspecified code only when documentation does not specify the exact site (such as cervix, urethra, or other urogenital structures); if the site is documented, use a more specific A60.0x code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A60.00 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Use this unspecified code only when documentation does not specify the exact site (such as cervix, urethra, or other urogenital structures); if the site is documented, use a more specific A60.0x code
  • •Verify whether the infection is HSV-1 or HSV-2 if documented, as this may affect treatment and counseling; also check for recurrent vs. initial episode documentation to support appropriate code selection

Child Codes

A60.00Herpesviral infection of urogenital system, unspecified
A60.01Herpesviral infection of penis
A60.02Herpesviral infection of other male genital organs
A60.03Herpesviral cervicitis
A60.04Herpesviral vulvovaginitis
A60.09Herpesviral infection of other urogenital tract

Code Hierarchy

└A60Anogenital herpesviral [herpes simplex] infections└A60.0Herpesviral infection of genitalia and urogenital tract└A60.00Herpesviral infection of urogenital system, unspecified
└A60.00Herpesviral infection of urogenital system, unspecified

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