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A60.9

Billable

Anogenital herpesviral infection, unspecified

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

What This Code Means

This code describes a herpes simplex virus infection in the genital or anal area when the specific type or location is not documented. It's a sexually transmitted infection that causes painful blisters and sores in the affected region.

Coding Tips

  • Query the provider if more specific information is available, such as whether it's HSV-1 or HSV-2, or the exact anatomical location (vulva, penis, perianal area), as more specific codes (A60.0-A60.8) may be more appropriate
  • Ensure documentation supports genital/anogenital involvement; if the infection is in other body areas, different herpes codes (B00) would apply instead

Code Hierarchy

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