B38.4 — Coccidioidomycosis meningitis
Is B38.4 billable?
Yes — B38.4 is billable for FY2027. B38.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. B38.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
B38.4 at a glance
| Code | B38.4 |
|---|---|
| Description | Coccidioidomycosis meningitis |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does B38.4 group to?
B38.4 sits in MDC 01 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 023Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulatorsurgical
- 024Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCCsurgical
As a secondary diagnosis, B38.4 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is B38.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to B38.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Coccidioidomycosis › meninges
- Granuloma › coccidioidal › meninges
- Meningitis › in › coccidioidomycosis (basal) (basic) (brain) (cerebral) (cervical) (congestive) (diffuse) (hemorrhagic) (infantile) (membranous) (metastatic) (nonspecific) (pontine) (progressive) (simple) (spinal) (subacute) (sympathetic) (toxic)
Use additional code — inherited from Chapter 1
Report an additional code alongside B38.4 to fully describe the condition. B38.4 is sequenced first.
- code to identify resistance to antimicrobial drugs (Z16.-)
Excludes2 — not included here — inherited from Chapter 1
The conditions below are not part of B38.4, but a patient may have both at the same time. When documentation supports it, B38.4 and the excluded code may both be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
Excludes2 — not included here — inherited from B35-B49
The conditions below are not part of B38.4, but a patient may have both at the same time. When documentation supports it, B38.4 and the excluded code may both be reported.
How long has B38.4 existed?
B38.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with B38.4?
ICD-10-CM declares these codes mutually exclusive with B38.4 — exactly one of each pair can be correct for a given encounter.