B04
B04 — Monkeypox
Billable / specific codeICD-10-CM
B04 is a billable, specific ICD-10-CM code for monkeypox. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Mpox
Risk adjustment
B04 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How B04 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to B04.
- Monkeypox
- Mpox
Questions about B04
- Is B04 a billable ICD-10-CM code?
- Yes. B04 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does B04 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Viral infections characterized by skin and mucous membrane lesions (B00-B09).