ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 B19.10

Billable / Specific CC

Unspecified viral hepatitis B without hepatic coma

B19
Block
1
Synonyms
36
LCDs
4
Payer Policies
27
Linked CPTs

About ICD-10-CM B19.10

ICD-10-CM code B19.10 represents Unspecified viral hepatitis B without hepatic coma. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B19). The 2026 edition of ICD-10-CM B19.10 became effective on October 1, 2025.

Coding Tips for B19.10

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

B19.10 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under B19.10. Per CMS ICD-10-CM Tabular 2026.

  • Unspecified viral hepatitis B NOS

Inpatient DRG Impact, CC

codes Unspecified viral hepatitis B without hepatic coma. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for B19.10

Local Coverage Determinations (LCDs) from CMS MACs that list B19.10 as a covered diagnosis.

36 LCDs

Showing top 10 of 36 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1459 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B19.10.

4 policies

2 Aetna

Hepatitis A Vaccine - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0048
Liver Transplantation
Policy ID: CPB-0596

2 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Immune Globulins
Policy ID: ART-57554

CPT Codes Commonly Billed with B19.10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

27 linkages
  • J0840 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J0850 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • 90371 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • 90375 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J1573 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J1569 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J1459 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J1557 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J1556 CMS LCD: Billing and Coding: Immune Globulins CMS LCD
  • J1560 CMS LCD: Billing and Coding: Immune Globulins CMS LCD

Convert B19.10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
B19.10 07030 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 B19.10, Billing FAQ

Is ICD-10 code B19.10 billable? +

Yes, B19.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to B19.10? +

ICD-10 B19.10 includes: Unspecified viral hepatitis B NOS.

Is B19.10 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with B19.10? +

Procedures frequently paired with B19.10 include: J0840, J0850, 90371, 90375, J1573.

What ICD-9 codes does B19.10 map to? +

Per CMS GEMs, B19.10 maps to ICD-9 codes: 07030. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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