Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesViral infections characterized by skin and mucous membrane lesionsICD-10-CM b02-zoster-herpes-zoster
    Ask Trek AI about this page

    ICD-10-CM Code For Zoster Herpes Zoster: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group B02 includes diagnoses for herpes zoster and its complications, covering acute cutaneous shingles, ophthalmic and otic involvement, and postherpetic neuralgia. These ICD-10-CM diagnosis codes are used to document clinical scenarios such as acute vesicular dermatomal eruptions, involvement of cranial nerves or eyes, and chronic neuropathic pain following shingles, capturing disease severity and organ involvement. Accurate coding within the ICD-10-CM B02 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Zoster Herpes Zoster: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM B02: Zoster [herpes zoster] Overview

    The ICD-10-CM B02 group covers herpes zoster, also known as shingles, a reactivation of varicella-zoster virus affecting skin and mucous membranes and sometimes nerves. These diagnoses target dermatologic and neurologic complications such as cutaneous lesions, postherpetic neuralgia, and ocular involvement. Accurate coding matters for correct reimbursement and to reflect clinical severity and resource use.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when documenting an acute herpes zoster episode, specifying site of involvement and any complications to reflect clinical complexity. Use the postherpetic neuralgia codes when persistent neuropathic pain follows the acute rash.

    ICD-10-CM Codes

    16 rows

    ICD-10-CM CodeDescription
    B02.0Zoster encephalitis
    B02.1Zoster meningitis
    B02.21Postherpetic geniculate ganglionitis
    B02.22Postherpetic trigeminal neuralgia
    B02.23Postherpetic polyneuropathy
    B02.24Postherpetic myelitis
    B02.29Other postherpetic nervous system involvement
    B02.30Zoster ocular disease, unspecified
    B02.31Zoster conjunctivitis
    B02.32Zoster iridocyclitis
    B02.33Zoster keratitis
    B02.34Zoster scleritis
    B02.39Other herpes zoster eye disease
    B02.7Disseminated zoster
    B02.8Zoster with other complications
    B02.9Zoster without complications

    DRG Codes

    20 rows

    DRG CodeDescription
    023Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
    024Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
    073Cranial and Peripheral Nerve Disorders with MCC
    074Cranial and Peripheral Nerve Disorders without MCC
    075Viral Meningitis with CC/MCC
    076Viral Meningitis without CC/MCC
    097Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC
    098Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC
    099Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC
    595Major Skin Disorders with MCC
    596Major Skin Disorders without MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    865Viral Illness with MCC
    866Viral Illness without MCC
    974HIV with Major Related Condition with MCC
    975HIV with Major Related Condition with CC
    976HIV with Major Related Condition without CC/MCC

    Typical Clinical Scenarios

    • An elderly patient presents to urgent care with a 48-hour history of unilateral, painful, blistering rash distributed along the right T4 dermatome, accompanied by sharp neuralgic pain. Physical exam shows clustered vesicles on an erythematous base and the patient reports recent onset of fever and malaise; diagnosis is assigned for acute herpes zoster without recorded complication. Typical codes: B02.9.
    • An adult with known HIV infection is evaluated in clinic for widespread, severe vesicular rash crossing multiple dermatomes with prolonged course and systemic symptoms; providers document disseminated zoster requiring systemic antiviral therapy and close monitoring for complications. A code for disseminated herpes zoster is assigned to capture the extensive cutaneous involvement and immunocompromised host. Typical codes: B02.7.
    • A middle-aged patient follows up after a recent episode of shingles that involved the left V2 distribution and now reports persistent, lancinating facial pain lasting more than 90 days with allodynia; the visit documents postherpetic neuralgia as a complication of the prior dermatomal zoster. A code for postherpetic neuralgia is assigned to reflect the chronic neuropathic sequela. Typical codes: B02.2, B02.21.

    Related Codes

    B00-HERPESVIRAL-HERPES-SIMPLEX-INFECTIONS

    ICD-10-CM Code For Herpesviral Herpes Simplex Infections: Group Overview

    B01-VARICELLA-CHICKENPOX

    ICD-10-CM Code For Varicella Chickenpox: Group Overview

    B03-SMALLPOX

    ICD-10-CM Code For Smallpox: Group Overview

    B04-MONKEYPOX

    ICD-10-CM Code For Monkeypox: Group Overview

    B05-MEASLES

    ICD-10-CM Code For Measles: Group Overview

    B06-RUBELLA-GERMAN-MEASLES

    ICD-10-CM Code For Rubella German Measles: Group Overview

    B07-VIRAL-WARTS

    ICD-10-CM Code For Viral Warts: Group Overview

    B08-OTHER-VIRAL-SKIN-AND-MUCOUS-LESIONS

    ICD-10-CM Code For Other Viral Infections Characterized By Skin And Mucous Membrane Lesions: Group Overview

    B09-UNSPECIFIED-VIRAL-MUCOCUTANEOUS-LESIONS

    ICD-10-CM Code For Unspecified Viral Infection Characterized By Skin And Mucous Membrane Lesions: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.