B00-B09 — Viral infections characterized by skin and mucous membrane lesions
ICD-10-CM codes B00-B09 cover viral infections characterized by skin and mucous membrane lesions, within certain infectious and parasitic diseases. The block holds 103 codes across 10 categories, of which 82 are billable and 21 are header codes that cannot be submitted on a claim.
Risk adjustment in B00-B09
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 182 Spinal Cord Disorders/Injuries
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
- HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
What else to watch in B00-B09
- 45 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in B00-B09
- B00Herpesviral [herpes simplex] infections
- B01Varicella [chickenpox]
- B02Zoster [herpes zoster]
- B03Smallpox
- B04Monkeypox
- B05Measles
- B06Rubella [German measles]
- B07Viral warts
- B08Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified
- B09Unspecified viral infection characterized by skin and mucous membrane lesions