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B08.03 ICD-10-CM Code: Pseudocowpox [milker's node]

B08.03 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Viral infections characterized by skin and mucous membrane lesions (B00-B09)

B08.03

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Pseudocowpox [milker's node]

Pseudocowpox, also called milker's node, is a viral infection that affects dairy workers and farmers who handle infected cattle.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
B08Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified
B08.0Other orthopoxvirus infections
B08.03Pseudocowpox [milker's node]

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B08.03 in this effective period.

Excludes 2

Official
  • monkeypox (B04)

Related Child Codes

Official
B08.01Cowpox and vaccinia not from vaccine
B08.02Orf virus disease
B08.04Paravaccinia, unspecified
B08.09Other orthopoxvirus infections

Includes

Official

ICD-10-CM does not list Includes notes for B08.03 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B08.03 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B08.03 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B08.03 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B08.03 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Document occupational exposure history when present
Note that this is a milder infection compared to true cowpox

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is B08.03 an HCC code?

No. B08.03 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
B08.03
Description
Pseudocowpox [milker's node]
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

B08.03 is the ICD-10-CM diagnosis code for pseudocowpox [milker's node]. Pseudocowpox, also called milker's node, is a viral infection that affects dairy workers and farmers who handle infected cattle. B08.03 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering viral infections characterized by skin and mucous membrane lesions (b00-b09).

B08.03 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Document occupational exposure history when present.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for B08.03 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document occupational exposure history when present
  • Note that this is a milder infection compared to true cowpox

Child Codes

Code Hierarchy

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