B30.1 ICD-10-CM Code: Conjunctivitis due to adenovirus
B30.1 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Other viral diseases (B25-B34)
B30.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceConjunctivitis due to adenovirus
Eye inflammation and redness caused by adenovirus infection, typically presenting with watery eyes and discomfort.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
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
Inclusion Terms
Official- Acute adenoviral follicular conjunctivitis
- Swimming-pool conjunctivitis
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for B30.1 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for B30.1 in this effective period.
Excludes 1
Official- herpesviral [herpes simplex] ocular disease (B00.5)
- ocular zoster (B02.3)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for B30.1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for B30.1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for B30.1 in this effective period.
Buddy Documentation Tip
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 B30.1 an HCC code?
No. B30.1 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
- B30.1
- Description
- Conjunctivitis due to adenovirus
- 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
B30.1 is the ICD-10-CM diagnosis code for conjunctivitis due to adenovirus. Eye inflammation and redness caused by adenovirus infection, typically presenting with watery eyes and discomfort. B30.1 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other viral diseases (b25-b34).
B30.1 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.
Adenovirus is a common cause of viral conjunctivitis and is often highly contagious.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for B30.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Adenovirus is a common cause of viral conjunctivitis and is often highly contagious
- •Specify laterality (right eye, left eye, or bilateral) if the medical record documents it for more precise coding