B58.3
B58.3: Pulmonary toxoplasmosis
Billable / specific codeICD-10-CM
B58.3 is a billable, specific ICD-10-CM code for pulmonary toxoplasmosis. It is valid for submission on a claim.
Check B58.3 with the rest of the claim: free scrubberOther codes that can never be billed with B58.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J17Pneumonia in diseases classified elsewhere
Risk adjustment
B58.3 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
B58.3 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Pneumonia›in›toxoplasmosis
- Pneumonitis›due to›toxoplasmosis(acquired)
- Toxoplasma, toxoplasmosis›with›pneumonia, pneumonitis
Code history
Unchanged in every release from FY2024 to FY2027.