B25.2
B25.2: Cytomegaloviral pancreatitis
Billable / specific codeICD-10-CM
B25.2 is a billable, specific ICD-10-CM code for cytomegaloviral pancreatitis. It is valid for submission on a claim.
Check B25.2 with the rest of the claim: free scrubberOther codes that can never be billed with B25.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K87Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
Risk adjustment
B25.2 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
B25.2 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Pancreatitis›cytomegaloviral
Code history
Unchanged in every release from FY2024 to FY2027.