B37.4
B37.4 — Candidiasis of other urogenital sites
Non-billable headerICD-10-CM
B37.4 is a non-billable header ICD-10-CM code for candidiasis of other urogenital sites. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with B37.4
These codes carry an Excludes1 note pointing at B37.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B37.4 alone.
- N16Renal tubulo-interstitial disorders in diseases classified elsewhere
- N33Bladder disorders in diseases classified elsewhere
- N37Urethral disorders in diseases classified elsewhere
- N39.0Urinary tract infection, site not specified
- N48.1Balanitis
- N51Disorders of male genital organs in diseases classified elsewhere
Risk adjustment
B37.4 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.
Code to one of these instead B37.4
3 child codes. Green means billable.
Related codes at this level
Codes that share B37. If B37.4 is not quite right, the correct code is usually one of these.
Questions about B37.4
- Is B37.4 a billable ICD-10-CM code?
- No. B37.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does B37.4 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Mycoses (B35-B49).