B25.0
B25.0: Cytomegaloviral pneumonitis
Billable / specific codeICD-10-CM
B25.0 is a billable, specific ICD-10-CM code for cytomegaloviral pneumonitis. It is valid for submission on a claim.
Check B25.0 with the rest of the claim: free scrubberOther codes that can never be billed with B25.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J17Pneumonia in diseases classified elsewhere
Risk adjustment
B25.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 6 Opportunistic Infections0.381 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
B25.0 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56612Billing and Coding: CT of the Head
Alphabetic index entries that lead here
- Pneumonia›cytomegalic inclusion
- Pneumonia›cytomegaloviral
- Disease, diseased›cytomegalic inclusion›with pneumonia
- Pneumonia›in›cytomegalovirus disease
Code history
Unchanged in every release from FY2024 to FY2027.