B42.9 — Sporotrichosis, unspecified
B42.9 is a billable, specific ICD-10-CM code for sporotrichosis, unspecified. It is valid for submission on a claim.
Risk adjustment
B42.9 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
B42.9 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57672Billing and Coding: Nail Debridement
How B42.9 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 B42.9.
- Sporotrichosis
Related codes at this level
Codes that share B42. If B42.9 is not quite right, the correct code is usually one of these.
Questions about B42.9
- Is B42.9 a billable ICD-10-CM code?
- Yes. B42.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does B42.9 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Mycoses (B35-B49).