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ICD-10-CM 2027 diagnosis code

A60.04Herpesviral vulvovaginitis

✓ Billable / specificFemale only

A60.04 is a valid, billable ICD-10-CM code for herpesviral vulvovaginitis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About A60.04

A60.04 is the ICD-10-CM diagnosis code for herpesviral vulvovaginitis. It belongs to category A60 (Anogenital herpesviral [herpes simplex] infections), block A50-A64 (infections with a predominantly sexual mode of transmission) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within A60.0 (herpesviral infection of genitalia and urogenital tract), A60.04 is specifically for herpesviral vulvovaginitis. Related codes cover infection of urogenital system, unspecified (A60.00), infection of penis (A60.01), infection of other male genital organs (A60.02), cervicitis (A60.03) and infection of other urogenital tract (A60.09).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC, relative weight 1.8456), DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC, relative weight 1.2974), DRG 757 (Infections, Female Reproductive System with MCC, relative weight 1.4649), DRG 758 (Infections, Female Reproductive System with CC, relative weight 0.9908), DRG 759 (Infections, Female Reproductive System without CC/MCC, relative weight 0.7691), DRG 974 (HIV with Major Related Condition with MCC, relative weight 3.0506) and 2 more, in MDC 13 (Diseases and Disorders of the Female Reproductive System) and MDC 25 (Human Immunodeficiency Virus Infections), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 054.11 (Herpetic vulvovaginitis) and 054.12 (Herpetic ulceration of vulva).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Herpesviral [herpes simplex] ulceration
  • Herpesviral [herpes simplex] vaginitis
  • Herpesviral [herpes simplex] vulvitis

Notes that apply from higher levels

Instructions written at a parent level also apply to A60.04.

Broader instructions also apply from A50-A64 Infections with a predominantly sexual mode of transmission and Chapter 1: Certain infectious and parasitic diseases.

Alphabetic index entries

6 entries

Terms in the official ICD-10-CM index that lead to A60.04.

Codes whose notes reference A60.04

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 054.11Herpetic vulvovaginitisapproximate
  • 054.12Herpetic ulceration of vulvaapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about A60.04

Is A60.04 billable?

Yes. A60.04 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can A60.04 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict A60.04 as a principal diagnosis.

Is A60.04 a CC or MCC?

No. A60.04 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does A60.04 group to?

A60.04 is used in the MS-DRG v44.0 logic for MS-DRG 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC), MS-DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC), MS-DRG 757 (Infections, Female Reproductive System with MCC), MS-DRG 758 (Infections, Female Reproductive System with CC), MS-DRG 759 (Infections, Female Reproductive System without CC/MCC), MS-DRG 974 (HIV with Major Related Condition with MCC) and 2 more. Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for A60.04?

The CMS General Equivalence Mappings map A60.04 to ICD-9-CM 054.11 and 054.12.