Question 1

What is ICD-10 code B92?

Accepted Answer

B92 is the ICD-10-CM diagnosis code for sequelae of leprosy. Lasting complications from leprosy (Hansen's disease), such as nerve damage, disfigurement, or loss of sensation that persists after treatment. B92 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering sequelae of infectious and parasitic diseases (b90-b94).

B92 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Document the specific sequelae such as peripheral neuropathy, contractures, blindness, or disfigurement resulting from prior leprosy.

Question 2

Is B92 an HCC code?

Accepted Answer

No. B92 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is B92 billable?

Accepted Answer

Yes. B92 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. B92 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for B92?

Accepted Answer

B92 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards B92 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

Question 5

What should coders know when reporting B92?

Accepted Answer

Document the specific sequelae such as peripheral neuropathy, contractures, blindness, or disfigurement resulting from prior leprosy Distinguish between active leprosy (A30) and sequelae; sequelae codes apply after the infection has been treated and resolved

B92

Is B92 an HCC code?

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Open B92 in the Interactive Encoder