FY2027 ICD-10-CM reference
B86: Scabies
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Scabies. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
CMS-HCC V28
No V28 HCC for 2026 dates of service (CMS 2027 Initial ICD-10-CM Mappings)
CMS-HCC V24
Not used for payment year 2027 Medicare Advantage payment
ESRD
No category in the PY2026 CMS mapping; CMS 2027 initial file unchanged
PACE
Source verification pending
RxHCC
No category in the PY2026 CMS mapping; CMS 2027 initial file unchanged
HHS-HCC
No category in the HHS-HCC 2026 benefit year mapping
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Includes
diseases generally recognized as communicable or transmissible
Source: A00-B99 (chapter, inherited).
Instructional note
code to identify resistance to antimicrobial drugs (Z16.-)
Source: A00-B99 (chapter, inherited).
Excludes2
carrier or suspected carrier of infectious disease (Z22.-)
Source: A00-B99 (chapter, inherited).
Excludes2
certain localized infections - see body system-related chapters
Source: A00-B99 (chapter, inherited).
Excludes2
infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
Source: A00-B99 (chapter, inherited).
Excludes2
infectious and parasitic diseases specific to the perinatal period (P35-P39)
Source: A00-B99 (chapter, inherited).
Excludes2
influenza and other acute respiratory infections (J00-J22)
Source: A00-B99 (chapter, inherited).
Instructional note
Sarcoptic itch
Source: B86 (category, direct).
Compare the FY2027 additions, removals and billable-status changes
What does B86 mean in FY2027?
The official ICD-10-CM descriptor is Scabies. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is B86 billable in FY2027?
The FY2027 order file marks B86 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does B86 map to an HCC?
B86 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: no ESRD category; no RxHCC category. Coefficients for these models are pending verification for payment year 2027. HHS-HCC: no category in the HHS-HCC 2026 benefit year mapping. CMS-HCC V24: not used for payment year 2027 Medicare Advantage payment (CMS CY 2027 Rate Announcement). The PACE mapping is still pending verification for FY2027.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition
