2024 ICD-10-CM Diagnosis Code B00.2

Herpesviral gingivostomatitis and pharyngotonsillitis

ICD-10-CM Code:
B00.2
ICD-10 Code for:
Herpesviral gingivostomatitis and pharyngotonsillitis
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Certain infectious and parasitic diseases
    (A00–B99)
    • Viral infections characterized by skin and mucous membrane lesions
      (B00-B09)
      • Herpesviral [herpes simplex] infections
        (B00)

B00.2 is a billable diagnosis code used to specify a medical diagnosis of herpesviral gingivostomatitis and pharyngotonsillitis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute herpes simplex pharyngitis
  • Acute herpes zoster pharyngitis
  • Acute viral pharyngitis
  • Acute viral pharyngitis
  • Allergic contact gingivostomatitis
  • Allergic gingival disease
  • Allergic gingivitis
  • Contact gingivostomatitis
  • Contact gingivostomatitis
  • Contact mucous membrane inflammation
  • Contact mucous membrane inflammation
  • Contact stomatitis
  • Contact stomatitis
  • Gingival disease due to virus
  • Gingivostomatitis
  • Herpes zoster infection of oral mucosa
  • Herpetic gingivostomatitis
  • Hypersensitivity gingivitis
  • Hypersensitivity gingivitis
  • Irritant contact gingivostomatitis
  • Oral herpes simplex infection
  • Oral mucosal herpes
  • Oral mucosal herpes
  • Oral mucosal viral disease
  • Oral mucosal viral disease
  • Oral mucosal viral disease
  • Pharyngotonsillitis caused by Human herpes simplex virus
  • Primary herpes simplex
  • Primary oral herpes simplex infection
  • Recurrent oral gingivostomatitis caused by herpes simplex
  • Recurrent oral herpes simplex infection
  • Viral tonsillitis

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Any dental condition including traumatic injuryDEN001N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Caries, periodontitis, and other preventable dental conditionsDEN003N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Diseases of mouth; excluding dentalDIG003Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Nontraumatic dental conditionsDEN002N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Other specified upper respiratory infectionsRSP006N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Viral infectionINF008N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Herpesviral pharyngitis

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert B00.2 to ICD-9-CM

  • ICD-9-CM Code: 054.2 - Herpetic gingivostomat

Patient Education


Herpes Simplex

Herpes is an infection that is caused by a herpes simplex virus (HSV). Oral herpes causes cold sores around the mouth or face. Genital herpes affects the genitals, buttocks or anal area. Genital herpes is a sexually transmitted disease (STD). It affects the genitals, buttocks or anal area. Other herpes infections can affect the eyes, skin, or other parts of the body. The virus can be dangerous in newborn babies or in people with weak immune systems.

There are two types of HSV:

  • HSV type 1 most commonly causes cold sores. It can also cause genital herpes.
  • HSV type 2 is the usual cause of genital herpes, but it also can infect the mouth.

HSV spreads through direct contact. Some people have no symptoms. Others get sores near the area where the virus has entered the body. They turn into blisters, become itchy and painful, and then heal.

Most people have outbreaks several times a year. Over time, you get them less often. Medicines to help your body fight the virus can help lessen symptoms and decrease outbreaks.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.