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

ICD-10 B39.4

Billable / Specific

Histoplasmosis capsulati, unspecified

B39
Block
1
Synonyms
157
LCDs
22
Payer Policies
25
Linked CPTs

About ICD-10-CM B39.4

ICD-10-CM code B39.4 represents Histoplasmosis capsulati, unspecified. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B39). The 2026 edition of ICD-10-CM B39.4 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under B39.4. Per CMS ICD-10-CM Tabular 2026.

  • American histoplasmosis

Medicare LCD Coverage for B39.4

Local Coverage Determinations (LCDs) from CMS MACs that list B39.4 as a covered diagnosis.

157 LCDs

Showing top 10 of 157 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT 92134 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT 67028 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT C9257 →
CMS LCD: Billing and Coding: Intraocular Bevacizumab
Article ID: 53008, Effective: 2025-11-06 00:00:00, 341 covered, 0 non-covered
CPT J7999 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 57804, Effective: 2025-10-01 00:00:00, 725 covered, 1 non-covered
CPT 92134 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 57804, Effective: 2025-10-01 00:00:00, 725 covered, 1 non-covered
CPT 92132 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 57804, Effective: 2025-10-01 00:00:00, 725 covered, 1 non-covered
CPT 92137 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 57804, Effective: 2025-10-01 00:00:00, 725 covered, 1 non-covered
CPT 92133 →
CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Article ID: 56841, Effective: 2023-10-01 00:00:00, 759 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Assays for Vitamins and Metabolic Function
Article ID: 56416, Effective: 2025-10-01 00:00:00, 899 covered, 1 non-covered
CPT 82306 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing B39.4.

22 policies

2 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008
Optic Nerve and Retinal Imaging Methods
Policy ID: CPB-0344

1 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538

5 Medicare

Billing and Coding: Intraocular Bevacizumab
Policy ID: ART-53008
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: CT of the Head
Policy ID: ART-56612

CPT Codes Commonly Billed with B39.4

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

25 linkages
  • Q9957 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • Q9955 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8923 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8928 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8924 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8921 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • 76376 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8930 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8929 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD
  • C8922 CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE) CMS LCD

Convert B39.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
B39.4 11500 10000

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

ICD-10 B39.4, Billing FAQ

Is ICD-10 code B39.4 billable? +

Yes, B39.4 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 B39.4? +

ICD-10 B39.4 includes: American histoplasmosis.

What CPT codes are commonly billed with B39.4? +

Procedures frequently paired with B39.4 include: Q9957, Q9955, C8923, C8928, C8924.

What ICD-9 codes does B39.4 map to? +

Per CMS GEMs, B39.4 maps to ICD-9 codes: 11500. 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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