B37.49 — Other urogenital candidiasis
B37.49 is a billable, specific ICD-10-CM code for other urogenital candidiasis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Candidal pyelonephritis
Other codes that can never be billed with B37.49
These codes carry an Excludes1 note pointing at B37.49. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading B37.49 alone.
- N16Renal tubulo-interstitial disorders in diseases classified elsewhere
Risk adjustment
B37.49 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
B37.49 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58761Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
How B37.49 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 B37.49.
- Candidiasis, candidal›pyelonephritis
- Candidiasis, candidal›urogenital site NEC
Related codes at this level
Codes that share B37.4. If B37.49 is not quite right, the correct code is usually one of these.
Questions about B37.49
- Is B37.49 a billable ICD-10-CM code?
- Yes. B37.49 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does B37.49 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Mycoses (B35-B49).