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B00 ICD-10-CM Code: Herpesviral [herpes simplex] infections

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Viral infections characterized by skin and mucous membrane lesions (B00-B09)

B00

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Herpesviral [herpes simplex] infections

Herpesviral [herpes simplex] infections

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
B0Viral infections characterized by skin and mucous membrane lesions (B00-B09)
B00Herpesviral [herpes simplex] infections

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B00 in this effective period.

Excludes 2

Official
  • anogenital herpesviral infection (A60.-)
  • gammaherpesviral mononucleosis (B27.0-)
  • herpangina (B08.5)

Related Child Codes

Official
B00.0Eczema herpeticum
B00.1Herpesviral vesicular dermatitis
B00.2Herpesviral gingivostomatitis and pharyngotonsillitis
B00.3Herpesviral meningitis
B00.4Herpesviral encephalitis

Includes

Official

ICD-10-CM does not list Includes notes for B00 in this effective period.

Excludes 1

Official
  • congenital herpesviral infections (P35.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B00 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B00 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B00 in this effective period.

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.

What This Code Means

B00 is the ICD-10-CM diagnosis code for herpesviral [herpes simplex] infections. B00 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering viral infections characterized by skin and mucous membrane lesions (b00-b09).

Header codes like B00 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at B00's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B00 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • congenital herpesviral infections (P35.2)

Excludes 2, Not included here, may code separately

  • anogenital herpesviral infection (A60.-)
  • gammaherpesviral mononucleosis (B27.0-)
  • herpangina (B08.5)

Child Codes

Code Hierarchy

B00Herpesviral [herpes simplex] infections
B00Herpesviral [herpes simplex] infections

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