Skip to content

B00.5 ICD-10-CM Code: Herpesviral ocular disease

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

B00.5

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

Herpesviral ocular disease

Herpesviral ocular disease

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
B00Herpesviral [herpes simplex] infections
B00.5Herpesviral ocular disease

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B00.5 in this effective period.

Excludes 2

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

Related Child Codes

Official
B00.50Herpesviral ocular disease, unspecified
B00.51Herpesviral iridocyclitis
B00.52Herpesviral keratitis
B00.53Herpesviral conjunctivitis
B00.59Other herpesviral disease of eye

Includes

Official

ICD-10-CM does not list Includes notes for B00.5 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 B00.5 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B00.5 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B00.5 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
B00.5
Description
Herpesviral ocular disease
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

B00.5 is the ICD-10-CM diagnosis code for herpesviral ocular disease. B00.5 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 B00.5 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 B00.5'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 B00.5 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

Work B00.5 in HCC Buddy

Open B00.5 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.