B37.81 — Candidal esophagitis
B37.81 is a billable, specific ICD-10-CM code for candidal esophagitis. It is valid for submission on a claim.
Risk adjustment
B37.81 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.
Medicare coverage
B37.81 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
- A58801Billing and Coding: Pharmacogenomics Testing
How B37.81 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 B37.81.
- Candidiasis, candidal›esophagitis
- Esophagitis›candidal
Related codes at this level
Codes that share B37.8. If B37.81 is not quite right, the correct code is usually one of these.
Questions about B37.81
- Is B37.81 a billable ICD-10-CM code?
- Yes. B37.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does B37.81 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Mycoses (B35-B49).