2027 ICD-10-CM Diagnosis Code A60.04Herpesviral vulvovaginitis

ICD-10-CM Codes›A00–B99›A50-A64›A60

ICD-10-CM A60.04
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

A60.04 is a billable ICD-10-CM diagnosis code for herpesviral vulvovaginitis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 757 through 759, 974 through 976. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Inflammatory diseases of female pelvic organs, Sexually transmitted infections (excluding HIV and hepatitis), and Viral infection.

Code Identity

ICD-10-CM Code
A60.04
Billable Status
Yes — Valid for Submission
Code Describes
Herpesviral vulvovaginitis
Short Description
Herpesviral vulvovaginitis
Same as the full description in the CMS dataset.
Parent Code
A60.0
Herpesviral infection of genitalia and urogenital tract

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA50-A64Infections with a predominantly sexual mode of transmission
CategoryA60Anogenital herpesviral [herpes simplex] infections
This CodeA60.04Herpesviral vulvovaginitis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Herpes simplex of female genitalia
  • Herpetic ulceration of vulva
  • Herpetic vesicle in vagina
  • Herpetic vulvovaginitis
  • Infection of vagina caused by Human herpes simplex virus
  • Primary herpes simplex
  • Primary herpes simplex infection of genitalia
  • Primary herpetic vulvovaginitis
  • Recurrent anogenital herpes
  • Recurrent genital herpes simplex
  • Recurrent herpetic vulvovaginitis
  • Recurrent inflammation of vulva caused by human herpes simplex virus
  • Recurrent ulcer of vulva caused by human herpes simplex virus
  • Recurrent vulvitis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to A60.04: its own notes plus those printed at block A50-A64 and Chapter 1. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • diseases generally recognized as communicable or transmissible

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Herpesviral [herpes simplex] ulceration
  • Herpesviral [herpes simplex] vaginitis
  • Herpesviral [herpes simplex] vulvitis

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Block A50-A64 Infections with a predominantly sexual mode of transmission applies to 142 codes
  • nonspecific and nongonococcal urethritis (N34.1)
  • Reiter's disease (M02.3-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block A50-A64 Infections with a predominantly sexual mode of transmission applies to 142 codes
  • human immunodeficiency virus [HIV] disease (B20)
From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • code to identify resistance to antimicrobial drugs (Z16.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name A60.04, its category, or a range that includes it.

Applicable To 1

These notes mention A60.04.

  • O98.3 Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium
    Conditions in A55-A64 names A55-A64, which includes this code

Excludes1 2

These codes carry an Excludes1 note naming A60.04: they are not reported together with it, unless the two conditions are unrelated.

  • N77.0 Ulceration of vulva in diseases classified elsewhere
    ulceration of vulva in herpesviral [herpes simplex] infection (A60.04)
  • N77.1 Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere
    herpesviral [herpes simplex] vulvovaginitis (A60.04)

Excludes2 1

These codes carry an Excludes2 note naming A60.04: its condition is not part of those codes, and both may be reported when the patient has both.

  • B00 Herpesviral [herpes simplex] infections
    anogenital herpesviral infection (A60.-) names A60.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN018
Inflammatory diseases of female pelvic organs
Default principal diagnosis: inpatient No · outpatient No
CCSR INF010
Sexually transmitted infections (excluding HIV and hepatitis)
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR INF008
Viral infection
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Genital Herpes

Genital herpes is a sexually transmitted infection (STI) caused by a herpes simplex virus (HSV). It can cause sores on your genital or rectal area, buttocks, and thighs. You can get it from having vaginal, anal, or oral sex with someone who has it. The virus can spread even when sores are not present.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert A60.04 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
054.11 Herpetic vulvovaginitis
Approximate The match is approximate rather than exact.
ICD-9-CM
054.12 Herpetic ulcer of vulva
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About A60.04Overview

What is the ICD-10 code for herpesviral vulvovaginitis?

The ICD-10-CM code for herpesviral vulvovaginitis is A60.04 (sometimes written as A6004). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is A60.04 (Herpesviral infection of genitalia and urogenital tract) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report herpesviral vulvovaginitis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does A60.04 group to?

When herpesviral vulvovaginitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 759, 974, 976, 975, 743, 758, 757, with relative weights from 0.7687 to 3.0488 depending on complications. Higher weights mean higher Medicare reimbursement.

Can A60.04 be reported with N34.1?

Not as a rule. The Excludes1 note at block A50-A64, which applies to A60.04, lists "nonspecific and nongonococcal urethritis (N34.1)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of A60.04?

Under the General Equivalence Mappings, herpesviral vulvovaginitis converts to ICD-9-CM 054.11 (herpetic vulvovaginitis) and 054.12 (herpetic ulcer of vulva). The mapping is approximate, so confirm the match fits the documentation.