2023 ICD-10-CM Diagnosis Code A60.04

Herpesviral vulvovaginitis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • A60.04 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM A60.04 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of A60.04 - other international versions of ICD-10 A60.04 may differ.
ICD-10-CM Coding Rules
  • A60.04 is applicable to female patients.
Applicable To
  • Herpesviral [herpes simplex] ulceration
  • Herpesviral [herpes simplex] vaginitis
  • Herpesviral [herpes simplex] vulvitis
The following code(s) above A60.04 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to A60.04:
  • A00-B99
    2023 ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    Includes
    • diseases generally recognized as communicable or transmissible
    Type 1 Excludes
    • certain localized infections - see body system-related chapters
    Type 2 Excludes
    • carrier or suspected carrier of infectious disease (Z22.-)
    • 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 to identify resistance to antimicrobial drugs (Z16.-)
    Certain infectious and parasitic diseases
  • A50-A64
    2023 ICD-10-CM Range A50-A64

    Infections with a predominantly sexual mode of transmission

    Type 1 Excludes
    • human immunodeficiency virus [HIV] disease (B20)
    • nonspecific and nongonococcal urethritis (N34.1)
    • Reiter's disease (M02.3-)
    Infections with a predominantly sexual mode of transmission
Approximate Synonyms
  • Herpes simplex ulcer of vulva
  • Herpes simplex vulvitis
  • Herpes simplex vulvovaginitis
  • Herpetic ulceration of vulva
  • Herpetic vulvovaginitis
  • Recurrent herpes simplex ulcer of vulva
  • Recurrent herpes simplex vulvitis
  • Recurrent herpes simplex vulvovaginitis
  • Recurrent herpetic vulvovaginitis
  • Recurrent ulcer of vulva due to herpes simplex
  • Recurrent vulvitis due to herpes simplex
ICD-10-CM A60.04 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 742 Uterine and adnexa procedures for non-malignancy with cc/mcc
  • 743 Uterine and adnexa procedures for non-malignancy without cc/mcc
  • 757 Infections, female reproductive system with mcc
  • 758 Infections, female reproductive system with cc
  • 759 Infections, female reproductive system without cc/mcc
  • 974 Hiv with major related condition with mcc
  • 975 Hiv with major related condition with cc
  • 976 Hiv with major related condition without cc/mcc

Convert A60.04 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to A60.04:
  • Type 1 Excludes: N77.0
    , N77.1
    ICD-10-CM Diagnosis Code N77.0

    Ulceration of vulva in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx Manifestation Code
    Code First
    • underlying disease, such as:
    • Behçet's disease (M35.2)
    Type 1 Excludes
    • ulceration of vulva in gonococcal infection (A54.02)
    • ulceration of vulva in herpesviral [herpes simplex] infection (A60.04)
    • ulceration of vulva in syphilis (A51.0)
    • ulceration of vulva in tuberculosis (A18.18)
    ICD-10-CM Diagnosis Code N77.1

    Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx Manifestation Code
    Code First
    • underlying disease, such as:
    • pinworm (B80)
    Type 1 Excludes
    • candidal vulvovaginitis (B37.3-)
    • chlamydial vulvovaginitis (A56.02)
    • gonococcal vulvovaginitis (A54.02)
    • herpesviral [herpes simplex] vulvovaginitis (A60.04)
    • trichomonal vulvovaginitis (A59.01)
    • tuberculous vulvovaginitis (A18.18)
    • vulvovaginitis in early syphilis (A51.0)
    • vulvovaginitis in late syphilis (A52.76)

Diagnosis Index entries containing back-references to A60.04:
  • Herpes, herpesvirus, herpetic B00.9
    ICD-10-CM Diagnosis Code B00.9

    Herpesviral infection, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Herpes simplex infection NOS
    • anogenital A60.9
      ICD-10-CM Diagnosis Code A60.9

      Anogenital herpesviral infection, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • urogenital tract A60.00
        ICD-10-CM Diagnosis Code A60.00

        Herpesviral infection of urogenital system, unspecified

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • vagina A60.04
        • vulva A60.04
    • vulva A60.04
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
    • vulva (acute) (infectional) N76.6
      ICD-10-CM Diagnosis Code N76.6

      Ulceration of vulva

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
      • in (due to)
        • herpesviral A60.04 (herpes simplex)
  • Vaginitis (acute) (circumscribed) (diffuse) (emphysematous) (nonvenereal) (ulcerative) N76.0
    ICD-10-CM Diagnosis Code N76.0

    Acute vaginitis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
    Applicable To
    • Acute vulvovaginitis
    • Vaginitis NOS
    • Vulvovaginitis NOS
    • in (due to)
      • herpesviral A60.04 (herpes simplex)
  • Vulvitis (acute) (allergic) (atrophic) (hypertrophic) (intertriginous) (senile) N76.2
    ICD-10-CM Diagnosis Code N76.2

    Acute vulvitis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
    Applicable To
    • Vulvitis NOS
    • herpesviral A60.04

ICD-10-CM Codes Adjacent To A60.04
A59.03 Trichomonal cystitis and urethritis
A59.09 Other urogenital trichomoniasis
A59.8 Trichomoniasis of other sites
A59.9 Trichomoniasis, unspecified
A60 Anogenital herpesviral [herpes simplex] infections
A60.0 Herpesviral infection of genitalia and urogenital tract
A60.00 Herpesviral infection of urogenital system, unspecified
A60.01 Herpesviral infection of penis
A60.02 Herpesviral infection of other male genital organs
A60.03 Herpesviral cervicitis
A60.04 Herpesviral vulvovaginitis
A60.09 Herpesviral infection of other urogenital tract
A60.1 Herpesviral infection of perianal skin and rectum
A60.9 Anogenital herpesviral infection, unspecified
A63 Other predominantly sexually transmitted diseases, not elsewhere classified
A63.0 Anogenital (venereal) warts
A63.8 Other specified predominantly sexually transmitted diseases
A64 Unspecified sexually transmitted disease
A65 Nonvenereal syphilis
A66 Yaws
A66.0 Initial lesions of yaws

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.