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B39 ICD-10-CM Code: Histoplasmosis

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

B39

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Histoplasmosis

Histoplasmosis

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

Basket needed

Code Book Path

Official
B3Mycoses (B35-B49)
B39Histoplasmosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B39 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B39 in this effective period.

Related Child Codes

Official
B39.0Acute pulmonary histoplasmosis capsulati
B39.1Chronic pulmonary histoplasmosis capsulati
B39.2Pulmonary histoplasmosis capsulati, unspecified
B39.3Disseminated histoplasmosis capsulati
B39.4Histoplasmosis capsulati, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for B39 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B39 in this effective period.

Code First

Official
  • associated AIDS (B20)

Use Additional

Official
  • code for any associated manifestations, such as:
  • endocarditis (I39)
  • meningitis (G02)
  • pericarditis (I32)
  • retinitis (H32)

Code Also

Official

ICD-10-CM does not list Code Also instructions for B39 in this effective period.

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.

What This Code Means

B39 is the ICD-10-CM diagnosis code for histoplasmosis. B39 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering mycoses (b35-b49).

Header codes like B39 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at B39's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B39 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Use Additional Code

  • code for any associated manifestations, such as:
  • endocarditis (I39)
  • meningitis (G02)
  • pericarditis (I32)
  • retinitis (H32)

Code First

  • associated AIDS (B20)

Child Codes

Code Hierarchy

B39Histoplasmosis
B39Histoplasmosis

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