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B37.83 ICD-10-CM Code: Candidal cheilitis

B37.83 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupB37.83

FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Mycoses (B35-B49)

B37.83

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

Candidal cheilitis

A yeast infection of the lips and corners of the mouth, causing cracks, redness, and soreness.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

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
B37CandidiasisB37.8Candidiasis of other sitesB37.83Candidal cheilitis

Inclusion Terms

Official

No inclusion terms are included in this display for B37.83. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • carrier or suspected carrier of infectious disease (Z22.-)Inherited from A00-B99, B35-B49
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)Inherited from A00-B99, B35-B49
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)Inherited from A00-B99, B35-B49
  • influenza and other acute respiratory infections (J00-J22)Inherited from A00-B99, B35-B49
  • hypersensitivity pneumonitis due to organic dust (J67.-)Inherited from A00-B99, B35-B49
  • mycosis fungoides (C84.0-)Inherited from A00-B99, B35-B49

Related Codes

Official
B37.81Candidal esophagitisB37.82Candidal enteritisB37.84Candidal otitis externaB37.89Other sites of candidiasis

Includes

Official
  • diseases generally recognized as communicable or transmissibleInherited from A00-B99, B37
  • candidosisInherited from A00-B99, B37
  • moniliasisInherited from A00-B99, B37

Excludes 1

Official
  • certain localized infections - see body system-related chaptersInherited from A00-B99, B37
  • neonatal candidiasis (P37.5)Inherited from A00-B99, B37

Code First

Official

No Code First sequencing instructions are included in this display for B37.83. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code to identify resistance to antimicrobial drugs (Z16.-)Inherited from A00-B99

Code Also

Official

No Code Also instructions are included in this display for B37.83. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
This is a relatively mild form of candidiasis; often associated with denture use or poor oral hygiene
May be a sign of underlying immunosuppression if recurrent; consider documenting contributing factors

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 B37.83 an HCC code?

No. B37.83 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
B37.83
Description
Candidal cheilitis
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

B37.83 is the ICD-10-CM diagnosis code for candidal cheilitis. A yeast infection of the lips and corners of the mouth, causing cracks, redness, and soreness. B37.83 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering mycoses (b35-b49).

B37.83 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.

This is a relatively mild form of candidiasis; often associated with denture use or poor oral hygiene.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for B37.83 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •This is a relatively mild form of candidiasis; often associated with denture use or poor oral hygiene
  • •May be a sign of underlying immunosuppression if recurrent; consider documenting contributing factors

Child Codes

B37.81Candidal esophagitis
HCC 6
B37.82Candidal enteritis
B37.83Candidal cheilitis
B37.84Candidal otitis externa
B37.89Other sites of candidiasis

Code Hierarchy

└B37Candidiasis└B37.8Candidiasis of other sites└B37.83Candidal cheilitis
└B37.83Candidal cheilitis

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