B37.7
B37.7: Candidal sepsis
Billable / specific codeICD-10-CM
B37.7 is a billable, specific ICD-10-CM code for candidal sepsis. It is valid for submission on a claim.
Check B37.7 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Disseminated candidiasis
- Systemic candidiasis
Risk adjustment
B37.7 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock0.500 RAF
- 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
B37.7 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56809Billing and Coding: Transesophageal Echocardiography (TEE)
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57326Billing and Coding: Electrocardiograms
Alphabetic index entries that lead here
- Candidiasis, candidal›disseminated
- Candidiasis, candidal›sepsis
- Candidiasis, candidal›systemic
- Fungemia NOS›candida
- Sepsis›candidal
Code history
Unchanged in every release from FY2024 to FY2027.