B00.7
BillableDisseminated herpesviral disease
HCC Category Mapping
V28HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
0.455V24HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
0.455ESRDHCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
0.000What This Code Means
Herpes simplex virus that has spread throughout the body affecting multiple organ systems, representing a serious systemic infection.
Coding Tips
- •This code indicates widespread dissemination; document which organs are involved for complete clinical picture
- •Often requires additional codes to specify affected sites (CNS, liver, etc.)
Clinical Significance
Disseminated herpesviral disease represents systemic spread of herpes simplex virus beyond its typical mucocutaneous distribution, indicating severe immunocompromise or neonatal vulnerability. This is a life-threatening condition with multi-organ involvement that carries high mortality and maps to the high-weight sepsis HCC category.
Documentation Requirements
- ✓Confirmed HSV by viral culture, PCR, or direct fluorescent antibody from affected sites
- ✓Multi-organ involvement documented (which organs: liver, CNS, lungs, adrenals, skin)
- ✓Immunocompromised status documented if applicable (HIV, transplant, chemotherapy, neonatal)
- ✓Viral type specified if known (HSV-1 or HSV-2)
- ✓Severity indicators: ICU admission, organ failure, antiviral therapy regimen
Commonly Confused Codes
B00.1 (Herpesviral vesicular dermatitis) — Localized skin herpes; disseminated disease involves multiple organ systems beyond skinB00.4 (Herpesviral encephalitis) — HSV encephalitis is a single-organ manifestation; disseminated disease affects multiple organsA41.9 (Sepsis, unspecified organism) — Disseminated HSV may present like sepsis but has a specific code; do not use generic sepsis codes when HSV is confirmed
Code Hierarchy
└B00Herpesviral [herpes simplex] infections└B00.7Disseminated herpesviral disease
└B00.7Disseminated herpesviral disease