Herpes zoster without mention of complication

This code represents a viral infection caused by the varicella-zoster virus, characterized by a painful rash with blisters in a localized dermatomal pattern. It is a reactivation of the chickenpox virus, typically affecting individuals who have previously had varicella. The "without mention of complication" aspect signifies that no specific complications, such as ophthalmic involvement, neurological sequelae, or disseminated disease, are documented.

Use this code for a straightforward diagnosis of shingles where the medical record explicitly states herpes zoster and does not indicate any associated complications. This applies to initial and subsequent encounters for uncomplicated cases. Documentation should clearly identify the rash as herpes zoster and confirm the absence of specific complications.

• Do not use this code if any specific complication of herpes zoster is documented; instead, select a more specific code from the 053 series.
• Ensure the documentation clearly differentiates herpes zoster from herpes simplex, as these are distinct viral infections.
• This code is typically a primary diagnosis unless the patient is being treated for an unrelated condition and the herpes zoster is an incidental finding.