More Info on Shingles from ICD10 and CDC: History, Code, Guidelines

Taking control of your health is a compilation of personal education, trusted medical advisors, and focus on prevention over reaction. With communicable diseases, we all have a collective responsibility to know how to neutralize exposure risks and protect the most vulnerable among us. Vaccines play a key role in accomplishing health standards in the U.S. and globally.

It is estimated by the CDC that vaccines prevent 3.5 million incidents of varicella (chickenpox), 9,000 hospitalizations, and one hundred deaths every year in the United States.

Along with getting vaccinated, understanding medical language can assist you in finding full insurance coverage and dipping into your health history. We will cover both topics in this article so you can be a fruitful member of the human race with your health decisions.

What Are ICD 10 Codes?

The healthcare industry has its own form of language to classify diseases across multiple disciplines. Doctors, public health agencies, and insurance companies utilize alphanumeric names, ICD 10 codes, to decipher diagnosis.

The classifications are applied for a variety of public services including to process insurance claims, calculate global mortality rates, and track disease epidemics.

Shingles ICD 10 Code: B02.9

Every discovered viral and bacterial infection has been labeled with a medical billing code. Herpes zoster, the virus responsible for chickenpox and shingles, has the ICD 10 code of B02.9. The codes are stackable, meaning additional numbers can be added to describe varying severity of the disease and additional symptoms.

For example, B02.9 is the shingles ICD 10 code with no further complications. The following numerals added to ICD-10 depict specific patients’ diagnosis for ailments coexisting with shingles.

If you have additional questions about coding or would like to look up the codes for your particular diagnosis, the World Health Organization manages the directory.

Personal History of Shingles ICD 10

In addition to the application for current diagnosis, coding is utilized to keep medical records. A patient’s full medical history, including family history, provides doctors with more acute understanding for prognosis and treatment. A personal history of shingles ICD 10 code is ICD-9-CM Z86.1 and indicates a history of infectious and parasitic disease. Diseases include herpes zoster virus, but also span across HIV, measles, mumps, Ebola, hepatitis, human papillomavirus (HPV), Lyme, typhoid, and sexually transmitted disease (STD).

Overview of CDC Guidelines for Shingles

The Center for Disease Control and Prevention (CDC) is a U.S. federal agency that oversees public health concerns by delivering information to drive health promotion, prevention, and preparedness. For any communicable disease, the CDC has best practices and recommendations to stay healthy.

The preferred course of action for shingles treatment, according to the CDC, is for victims to start a round of antiviral medications as soon as symptoms present themselves. Shortening the duration of the blisters will shrink the contagious period, hopefully preventing (or at least minimizing) the risk of transmission to others. Anti-viral meds (acyclovir, famciclovir, and valacyclovir) have shown promise in reducing painful symptoms as well. Pain medication takes the edge off the rash to promote healing and is a key piece of the puzzle.

The CDC guidelines for shingles prevention starts with a vaccine.

CDC Recommendations for Shingles Vaccine

The organization strongly believes in the power of vaccines to prevent shingles outbreak. On the official website, the CDC underlines that the vaccine is the “only way” to lower endangerment of shingles and postherpetic neuralgia (PHN) pain. CDC recommendations for the shingles vaccine is that every person over the age of 50 be vaccinated with a relatively new vaccine, Shingrix®. The entity recommends two doses for all healthy adults in this mature age range for a 90% effectiveness rate. The shot is available in nearly every doctor’s office or pharmacy in the U.S.

Another shingles vaccine is available, Zostavax, but the CDC prefers the performance of Shingrix unless the individual exhibits an allergic reaction to ingredients in Shingrix. Shingrix was released in 2017 and has been the preferred favorite for the CDC since.

The coverage of the Zostavax is only 5 years, so experts warn that people from 50 to 59 could be susceptible to shingles again later in life. After the age of 60, a five-year protection is more acceptable.

Isolation Parameters for Herpes Zoster Incubation Period

The incubation period for family members or healthcare employees that have been exposed to a herpes zoster infected person is around 8 to 12 days. Monitoring should watch out for lesions, rash, fever, or notable fatigue. If no symptoms appear after two weeks, the exposed personnel is in the clear. If symptoms do arise, it is advisable to place the exposed person into isolation from anyone who is either immune compromised or has never had exposure to the virus.

A shingles diagnosis is no longer contagious once the blisters have healed. The virus can only transmit through bodily fluids, not airborne particles or alternative pathways. Using gloves and practicing caution is often sufficient to block the circulation of herpes zoster, although is it never a bad policy to go beyond minimal efforts to maintain the safety of the public.

 

 

Article References:

  1. https://www.cdc.gov/chickenpox/surveillance/monitoring-varicella.html
  2. https://www.verywellhealth.com/icd-10-codes-and-how-do-they-work-1738471
  3. https://www.icd10data.com/ICD10CM/Codes/A00-B99/B00-B09/B02-/B02.9
  4. https://www.who.int/classifications/icd/en/
  5. https://www.cdc.gov/shingles/about/prevention-treatment.html
  6. https://www.cdc.gov/shingles/vaccination.html
  7. https://www.shingrix.com/index.html
  8. https://www.cdc.gov/vaccines/vpd/shingles/public/zostavax/index.html

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