1. ICD-10-CM Codes
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2. A00-B99 Certain infectious and parasitic diseases
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3. B35-B49 Mycoses
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4. B38- Coccidioidomycosis
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5. 2021 ICD-10-CM Diagnosis Code B38.4

2021 ICD-10-CM Diagnosis Code B38.4

Coccidioidomycosis meningitis

2016 2017 2018 2019 2020 2021 Billable/Specific Code

• B38.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2021 edition of ICD-10-CM B38.4 became effective on October 1, 2020.
• This is the American ICD-10-CM version of B38.4 - other international versions of ICD-10 B38.4 may differ.

• Coccidioidal meningitis
• Coccidioidomycosis infection, meningitis

• 023 Craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator
• 024 Craniotomy with major device implant or acute complex cns principal diagnosis without mcc
• 097 Non-bacterial infection of nervous system except viral meningitis with mcc
• 098 Non-bacterial infection of nervous system except viral meningitis with cc
• 099 Non-bacterial infection of nervous system except viral meningitis without cc/mcc
• 791 Prematurity with major problems
• 793 Full term neonate with major problems
• 974 Hiv with major related condition with mcc
• 975 Hiv with major related condition with cc
• 976 Hiv with major related condition without cc/mcc

Convert B38.4 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change

• Type 1 Excludes: G02
  ICD-10-CM Diagnosis Code G02

  Meningitis in other infectious and parasitic diseases classified elsewhere

  2016 2017 2018 2019 2020 2021 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease, such as:
  • African trypanosomiasis (B56.-)
  • poliovirus infection (A80.-)

  Type 1 Excludes

  • candidal meningitis (B37.5)
  • coccidioidomycosis meningitis (B38.4)
  • cryptococcal meningitis (B45.1)
  • herpesviral [herpes simplex] meningitis (B00.3)
  • infectious mononucleosis complicated by meningitis (B27.- with fourth character 2)
  • measles complicated by meningitis (B05.1)
  • meningoencephalitis and meningomyelitis in other infectious and parasitic diseases classified elsewhere (G05)
  • mumps meningitis (B26.1)
  • rubella meningitis (B06.02)
  • varicella [chickenpox] meningitis (B01.0)
  • zoster meningitis (B02.1)

• Coccidioidomycosis B38.9
  ICD-10-CM Diagnosis Code B38.9

  Coccidioidomycosis, unspecified

  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • meninges B38.4
• Granuloma L92.9
  ICD-10-CM Diagnosis Code L92.9

  Granulomatous disorder of the skin and subcutaneous tissue, unspecified

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Type 2 Excludes

  • umbilical granuloma (P83.81)
  • coccidioidal (primary) (progressive) B38.7
    ICD-10-CM Diagnosis Code B38.7

    Disseminated coccidioidomycosis

    2016 2017 2018 2019 2020 2021 Billable/Specific Code

    Applicable To

    • Generalized coccidioidomycosis
    • meninges B38.4
• Meningitis (basal) (basic) (brain) (cerebral) (cervical) (congestive) (diffuse) (hemorrhagic) (infantile) (membranous) (metastatic) (nonspecific) (pontine) (progressive) (simple) (spinal) (subacute) (sympathetic) (toxic) G03.9
  ICD-10-CM Diagnosis Code G03.9

  Meningitis, unspecified

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Arachnoiditis (spinal) NOS
  • in (due to)
    • coccidioidomycosis B38.4

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.