2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A60.04 is a billable ICD-10-CM diagnosis code for herpesviral vulvovaginitis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Herpesviral herpes simplex ulceration
  • Herpesviral herpes simplex vaginitis
  • Herpesviral herpes simplex vulvitis

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Herpes, herpesvirus, herpetic
      • anogenital
        • urogenital tract
          • vagina
    • Herpes, herpesvirus, herpetic
      • anogenital
        • urogenital tract
          • vulva
    • Herpes, herpesvirus, herpetic
      • vulva
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • vulva (acute) (infectional)
        • in (due to)
          • herpesviral (herpes simplex) infection
    • Vaginitis(acute) (circumscribed) (diffuse) (emphysematous) (nonvenereal) (ulcerative)
      • in (due to)
        • herpesviral (herpes simplex) infection
    • Vulvitis(acute) (allergic) (atrophic) (hypertrophic) (intertriginous) (senile)
      • herpesviral

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

Clinical InformationClinical

  • Herpetic Vulvovaginitis

    infection of the vulva and the vagina caused by herpes simplex virus.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About A60.04Overview

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, 2025 through September 30, 2026.

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, 743, 757, 758, 759, 974, 975, 976, with relative weights from 0.6636 to 2.8860 depending on complications. Higher weights mean higher Medicare reimbursement.

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.

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.