A60.04 Herpesviral vulvovaginitis

ICD10CM code

#### Name of the Condition
- Herpesviral vulvovaginitis
- Also known as Genital Herpes, Herpetic Vulvovaginitis

#### Summary
Herpesviral vulvovaginitis is a viral infection caused by the herpes simplex virus (HSV) affecting the vulva and vagina. It's characterized by painful sores or blisters and is commonly transmitted through sexual contact.

#### Causes
- Caused by the herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2).
- Spread through direct contact with an infected person's sores, skin, saliva, or genital secretions.

#### Risk Factors
- Having multiple sexual partners.
- Engaging in unprotected sexual activities.
- A history of sexually transmitted infections (STIs).
- Weakened immune system.

#### Symptoms
- Painful blisters or sores in the genital area.
- Itching or tingling sensations.
- Swelling and tenderness in the affected region.
- Possible flu-like symptoms such as fever or swollen lymph nodes.

#### Diagnosis
- Physical examination to observe symptoms.
- Viral culture or polymerase chain reaction (PCR) test to detect herpes DNA.
- Blood tests to identify antibodies against HSV.

#### Treatment Options
- Antiviral medications like acyclovir, famciclovir, or valacyclovir to reduce outbreak severity and duration.
- Pain management through analgesics or topical preparations.
- Lifestyle adjustments to ease symptoms, such as wearing loose-fitting clothing.

#### Prognosis and Follow-Up
- Herpes is a lifelong condition with recurrent outbreaks, though outbreaks may become less frequent over time.
- Regular follow-up with a healthcare provider to monitor and manage symptoms effectively.

#### Complications
- Potential risk of transmitting the infection to sexual partners.
- Increased sores or secondary infections if not managed properly.
- Psychological impact due to the recurrent nature of the condition.

#### Lifestyle & Prevention
- Consistent use of condoms and dental dams during sexual activity.
- Avoidance of sexual contact during an outbreak.
- Stress management and maintaining a healthy immune system to reduce outbreak frequency.

#### When to Seek Professional Help
- Severe or persistent symptoms unresponsive to home treatment.
- New sores or blisters for timely antiviral intervention.
- Concerns about spreading the infection or managing symptoms effectively.

#### Additional Resources
- Centers for Disease Control and Prevention (CDC)
- American Sexual Health Association (ASHA)
- Support groups for individuals living with herpes

#### Tips for Medical Coders
- Ensure accurate coding by verifying both clinical diagnosis and laboratory confirmation.
- Avoid confusing with other types of genital infections, as coding differs based on causative agent.
- Use **ICD-10 Code A60.04** specifically for Herpesviral vulvovaginitis.

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