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ICD-10-CM 2027 diagnosis code

B38.4Coccidioidomycosis meningitis

✓ Billable / specificMCC — major complication/comorbidity

B38.4 is a valid, billable ICD-10-CM code for coccidioidomycosis meningitis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About B38.4

B38.4 is the ICD-10-CM diagnosis code for coccidioidomycosis meningitis. It belongs to category B38 (coccidioidomycosis), block B35-B49 (mycoses) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within B38 (coccidioidomycosis), B38.4 is specifically for coccidioidomycosis meningitis. Related codes cover acute pulmonary coccidioidomycosis (B38.0), chronic pulmonary coccidioidomycosis (B38.1), pulmonary coccidioidomycosis, unspecified (B38.2), cutaneous coccidioidomycosis (B38.3), disseminated coccidioidomycosis (B38.7), other forms of coccidioidomycosis (B38.8) and unspecified (B38.9).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator, relative weight 5.7444), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC, relative weight 3.9708), DRG 097 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC, relative weight 3.8226), DRG 098 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC, relative weight 2.2706), DRG 099 (Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC, relative weight 1.5256), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and 4 more, in MDC 01 (Diseases and Disorders of the Nervous System), MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) and MDC 25 (Human Immunodeficiency Virus Infections), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 114.2 (Coccidioidal meningitis).

Notes that apply from higher levels

Instructions written at a parent level also apply to B38.4.

Broader instructions also apply from B35-B49 Mycoses and Chapter 1: Certain infectious and parasitic diseases.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to B38.4.

Codes whose notes reference B38.4

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 114.2Coccidioidal meningitisexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about B38.4

Is B38.4 billable?

Yes. B38.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can B38.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict B38.4 as a principal diagnosis.

Is B38.4 a CC or MCC?

B38.4 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does B38.4 group to?

B38.4 is used in the MS-DRG v44.0 logic for MS-DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), MS-DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), MS-DRG 097 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC), MS-DRG 098 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC), MS-DRG 099 (Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC), MS-DRG 791 (Prematurity with Major Problems) and 4 more. Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for B38.4?

The CMS General Equivalence Mappings map B38.4 to ICD-9-CM 114.2.