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B10.09

B10.09Other human herpesvirus encephalitis

Billable / specific codeICD-10-CM

B10.09 is a billable, specific ICD-10-CM code for other human herpesvirus encephalitis. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Human herpesvirus 7 encephalitis

Other codes that can never be billed with B10.09

These codes carry an Excludes1 note pointing at B10.09. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B10.09 alone.

  • B00.4Herpesviral encephalitis

Risk adjustment

B10.09 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.

Medicare coverage

B10.09 is named in 2 Medicare coverage policies 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56771Billing and Coding: Special Electroencephalography
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How B10.09 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 B10.09.

  • Encephalitisherpesviraldue to herpesvirus 7
  • Encephalitisherpesviralspecified NEC
  • Herpes, herpesvirus, herpeticencephalitisdue to herpesvirus 7
  • Herpes, herpesvirus, herpeticencephalitisspecified NEC
  • Meningoencephalitisherpesviral, herpeticdue to herpesvirus 7
  • Meningoencephalitisherpesviral, herpeticspecified NEC
  • Encephalitisinherpes virusdue to herpesvirus 7
  • Encephalitisinherpes virusspecified NEC
  • Herpes, herpesvirus, herpetichuman7encephalitis
  • Meningoencephalitisinherpesdue to herpesvirus 7
  • Meningoencephalitisinherpesspecified NEC

Related codes at this level

Codes that share B10.0. If B10.09 is not quite right, the correct code is usually one of these.

Questions about B10.09

Is B10.09 a billable ICD-10-CM code?
Yes. B10.09 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does B10.09 sit in the tabular list?
Certain infectious and parasitic diseases (A00-B99), in the block Other human herpesviruses (B10).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.