ICD-10-CM 2027 diagnosis code
B59Pneumocystosis
B59 is a valid, billable ICD-10-CM code for pneumocystosis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Looking up by condition? See ICD-10 code for Pneumocystosis, ICD-10 code for Pneumocystis jirovecii, ICD-10 code for Pneumocystis carinii pneumonia.
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 B59
B59 is the ICD-10-CM diagnosis code for Pneumocystosis. It belongs to block B50-B64 (protozoal diseases) 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.
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 177 (Respiratory Infections and Inflammations with MCC, relative weight 1.6092), DRG 178 (Respiratory Infections and Inflammations with CC, relative weight 0.9744), DRG 179 (Respiratory Infections and Inflammations without CC/MCC, relative weight 0.7345), DRG 791 (Prematurity with Major Problems, relative weight 4.1075), DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), DRG 974 (HIV with Major Related Condition with MCC, relative weight 3.0506) and 2 more, in MDC 04 (Diseases and Disorders of the Respiratory 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 136.3 (Pneumocystosis).
Coding notes
- Pneumonia due to Pneumocystis carinii
- Pneumonia due to Pneumocystis jirovecii
Notes that apply from higher levels
Instructions written at a parent level also apply to B59.
Broader instructions also apply from B50-B64 Protozoal diseases and Chapter 1: Certain infectious and parasitic diseases.
Alphabetic index entries
10 entriesTerms in the official ICD-10-CM index that lead to B59.
- Disease, diseased › protozoal › pneumocystosis
- Infection, infected, infective (opportunistic) › Pneumocystis carinii (pneumonia)
- Infection, infected, infective (opportunistic) › Pneumocystis jirovecii (pneumonia)
- Pneumocystis carinii pneumonia
- Pneumocystis jirovecii (pneumonia)
- Pneumocystosis (with pneumonia)
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › in (due to) › pneumocystosis (Pneumocystis carinii) (Pneumocystis jirovecii)
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › interstitial › plasma cell
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › plasma cell (of infants)
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › Pneumocystis (carinii) (jirovecii)
Codes whose notes reference B59
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 04 · Diseases and Disorders of the Respiratory System
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
MDC 25 · Human Immunodeficiency Virus Infections
ICD-9-CM equivalent
Converter →- 136.3Pneumocystosisexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about B59
Is B59 billable?
- Yes. B59 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can B59 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict B59 as a principal diagnosis.
Is B59 a CC or MCC?
- B59 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does B59 group to?
- B59 is used in the MS-DRG v44.0 logic for MS-DRG 177 (Respiratory Infections and Inflammations with MCC), MS-DRG 178 (Respiratory Infections and Inflammations with CC), MS-DRG 179 (Respiratory Infections and Inflammations without CC/MCC), MS-DRG 791 (Prematurity with Major Problems), MS-DRG 793 (Full Term Neonate with Major Problems), MS-DRG 974 (HIV with Major Related Condition with MCC) and 2 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 B59?
- The CMS General Equivalence Mappings map B59 to ICD-9-CM 136.3.