Learn how to report these codes using these five examples. You may be faced with a situation where the neurological complication after an episode of herpes zoster may involve a nerve, a ganglion, or a segment of the spinal cord. And you may encounter patients with localized numbness and even conditions like a hemiplegia. Read on to know what changes you can expect when reporting postherpetic neurological complications in ICD-10. Code 053.1x for other nervous system complications in Herpes zoster, encompasses six codes in ICD-9 (053.10 to 053.19). These complications refer to conditions other than meningitis in Herpes zoster. Complications in Herpes zoster Neurological complications in Herpes zoster are common of which meningitis is a major complication. Meningitis in Herpes zoster is reported with ICD-9 code 053.0 (Herpes zoster with meningitis). This corresponds to code B02.1 (Zoster meningitis) in ICD-10. There are many other neurological complications possible with Herpes zoster; these include polyneuropathy, myelitis, and ganglionitis. There are other conditions of the nervous system that do not fall under these categories and are collectively reported as 'other' or 'unspecified'. ICD-9/ICD-10 Crosswalk Look at the table below and compare the codes for neurological complications of Herpes zoster. A one-on-one of codes in ICD-9 and ICD-10 reflect some changes in ICD-10 in codes for these conditions. 1. Codes 053.10 and 053.19 in ICD-9 match to code B02.29. 2. Codes 053.11 and 053.14 have a change in terminology from 'Herpes zoster' to 'Postherpetic'. 3. Codes 053.12 and 053.13 reflect no change in descriptors. Get Specific in ICD-10 In codes B02.29, B02.21, and B02.24, there is a change in descriptor from 'Herpes zoster' in the ICD-9 descriptors to 'postherpetic' in the ICD-10 descriptors. The complications like myelitis, geniculate ganglionitis, and other nervous system involvements develop after the rash of the herpetic infection. Hence, the ICD-10 descriptors are more precise. "Notice that the ICD-10 descriptors list "post-herpetic" neurological complications. While these can occur related to Herpes zoster, these can also result from non-zoster herpetic infections (eg Herpes simplex virus)," says Gregory Przybylski, MD, director of neurosurgery, New Jersey Neuroscience Institute, JFK Medical Center, Edison. Learn From 5 Examples Take a look at the scenarios below for the neurological complications in Herpes zoster and find out how you'll narrow down to the correct code for these conditions in ICD-10. Example 1: Example 2: Example 3: Example 4: Example 5: