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

ICD-10 B19.20

Billable / Specific

Unspecified viral hepatitis C without hepatic coma

B19
Block
1
Synonyms
25
LCDs
5
Payer Policies
7
Linked CPTs

About ICD-10-CM B19.20

ICD-10-CM code B19.20 represents Unspecified viral hepatitis C 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 B19.20 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under B19.20. Per CMS ICD-10-CM Tabular 2026.

  • Viral hepatitis C NOS

Medicare LCD Coverage for B19.20

Local Coverage Determinations (LCDs) from CMS MACs that list B19.20 as a covered diagnosis.

25 LCDs

Showing top 10 of 25 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: Erythropoiesis Stimulating Agents (ESA)
Article ID: 56462, Effective: 2026-03-05 00:00:00, 1253 covered, 66 non-covered
CPT Q4081 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B19.20.

5 policies

2 Aetna

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

3 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
Policy ID: ART-56462
Billing and Coding: Erythropoiesis Stimulating Agents (ESAs)
Policy ID: ART-56795

CPT Codes Commonly Billed with B19.20

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

7 linkages
  • Q4081 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD
  • J0881 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD
  • Q5106 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD
  • J0882 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD
  • J0885 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD
  • Q5105 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD
  • J0890 CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents (ESA) CMS LCD

Convert B19.20 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
B19.20 07070 00000

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

ICD-10 B19.20, Billing FAQ

Is ICD-10 code B19.20 billable? +

Yes, B19.20 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 B19.20? +

ICD-10 B19.20 includes: Viral hepatitis C NOS.

What CPT codes are commonly billed with B19.20? +

Procedures frequently paired with B19.20 include: Q4081, J0881, Q5106, J0882, J0885.

What ICD-9 codes does B19.20 map to? +

Per CMS GEMs, B19.20 maps to ICD-9 codes: 07070. 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 July 16, 2026.

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