B25.1
B25.1: Cytomegaloviral hepatitis
Billable / specific codeICD-10-CM
B25.1 is a billable, specific ICD-10-CM code for cytomegaloviral hepatitis. It is valid for submission on a claim.
Check B25.1 with the rest of the claim: free scrubberOther codes that can never be billed with B25.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K77Liver disorders in diseases classified elsewhere
Risk adjustment
B25.1 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
B25.1 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56612Billing and Coding: CT of the Head
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
Alphabetic index entries that lead here
- Hepatitis›cytomegaloviral
- Hepatitis›viral, virus›cytomegalic inclusion
Code history
Unchanged in every release from FY2024 to FY2027.