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B27.19 ICD-10-CM Code: Cytomegaloviral mononucleosis with other complication

ICD-10-CM Code View

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Other viral diseases (B25-B34)

B27.19

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

Cytomegaloviral mononucleosis with other complication

Infectious mononucleosis caused by cytomegalovirus with complications other than polyneuropathy or meningitis, such as hepatitis or pneumonitis.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
B27Infectious mononucleosis
B27.1Cytomegaloviral mononucleosis
B27.19Cytomegaloviral mononucleosis with other complication

Inclusion Terms

Official
  • Hepatomegaly in cytomegaloviral mononucleosis

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B27.19 in this effective period.

Related Child Codes

Official
B27.10Cytomegaloviral mononucleosis without complications
B27.11Cytomegaloviral mononucleosis with polyneuropathy
B27.12Cytomegaloviral mononucleosis with meningitis

Includes

Official

ICD-10-CM does not list Includes notes for B27.19 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B27.19 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B27.19 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B27.19 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B27.19 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code for CMV mononucleosis with complications not specified in B27.10-B27.12
Document the specific complication to support medical necessity and clinical decision-making

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is B27.19 an HCC code?

No. B27.19 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

B27.19 is the ICD-10-CM diagnosis code for cytomegaloviral mononucleosis with other complication. Infectious mononucleosis caused by cytomegalovirus with complications other than polyneuropathy or meningitis, such as hepatitis or pneumonitis. B27.19 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other viral diseases (b25-b34).

B27.19 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code for CMV mononucleosis with complications not specified in B27.10-B27.12.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B27.19 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for CMV mononucleosis with complications not specified in B27.10-B27.12
  • Document the specific complication to support medical necessity and clinical decision-making

Child Codes

Code Hierarchy

Work B27.19 in HCC Buddy

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