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

ICD-10 B27.09

Billable / Specific

Gammaherpesviral mononucleosis with other complications

B27
Block
1
Synonyms
7
LCDs
1
Payer Policies
3
Linked CPTs

About ICD-10-CM B27.09

ICD-10-CM code B27.09 represents Gammaherpesviral mononucleosis with other complications. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B27). The 2026 edition of ICD-10-CM B27.09 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under B27.09. Per CMS ICD-10-CM Tabular 2026.

  • Hepatomegaly in gammaherpesviral mononucleosis

Medicare LCD Coverage for B27.09

Local Coverage Determinations (LCDs) from CMS MACs that list B27.09 as a covered diagnosis.

7 LCDs

Showing top 7. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT Q5119 →
CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT J9312 →
CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT J9260 →
CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT Q5123 →
CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT Q5115 →
CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT J9215 →
CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Article ID: 55639, Effective: 2025-11-27 00:00:00, 564 covered, 0 non-covered
CPT J9190 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B27.09.

1 policies

1 Medicare

Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Policy ID: ART-55639

CPT Codes Commonly Billed with B27.09

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

3 linkages
  • J9190 CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions CMS LCD
  • J9260 CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions CMS LCD
  • J9215 CMS LCD: Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions CMS LCD

Convert B27.09 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
B27.09 075 10000

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

ICD-10 B27.09, Billing FAQ

Is ICD-10 code B27.09 billable? +

Yes, B27.09 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 B27.09? +

ICD-10 B27.09 includes: Hepatomegaly in gammaherpesviral mononucleosis.

What CPT codes are commonly billed with B27.09? +

Procedures frequently paired with B27.09 include: J9190, J9260, J9215.

What ICD-9 codes does B27.09 map to? +

Per CMS GEMs, B27.09 maps to ICD-9 codes: 075. 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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