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B40 ICD-10-CM Code: Blastomycosis

ICD-10-CM Code View

HCC Buddy Code Card

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

B40

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

Blastomycosis

Blastomycosis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
B4Mycoses (B35-B49)
B40Blastomycosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B40 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B40 in this effective period.

Related Child Codes

Official
B40.0Acute pulmonary blastomycosis
B40.1Chronic pulmonary blastomycosis
B40.2Pulmonary blastomycosis, unspecified
B40.3Cutaneous blastomycosis
B40.7Disseminated blastomycosis

Includes

Official

ICD-10-CM does not list Includes notes for B40 in this effective period.

Excludes 1

Official
  • Brazilian blastomycosis (B41.-)
  • keloidal blastomycosis (B48.0)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B40 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B40 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B40 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.

Coder workflow notes

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What This Code Means

B40 is the ICD-10-CM diagnosis code for blastomycosis. B40 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 B40 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 B40'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 B40 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • Brazilian blastomycosis (B41.-)
  • keloidal blastomycosis (B48.0)

Child Codes

Code Hierarchy

B40Blastomycosis
B40Blastomycosis

Work B40 in HCC Buddy

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