ICD-10 B94
Non-Billable HeaderSequelae of other and unspecified infectious and parasitic diseases
About ICD-10-CM B94
ICD-10-CM code B94 represents Sequelae of other and unspecified infectious and parasitic diseases. This is a non-billable header code in the Infectious and Parasitic Diseases chapter (block B94). The 2026 edition of ICD-10-CM B94 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for B94
Local Coverage Determinations (LCDs) from CMS MACs that list B94 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing B94.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but B94 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with B94
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To B94
Other codes in section B90-B94 (Sequelae of infectious and parasitic diseases).
ICD-10 B94, Billing FAQ
Is ICD-10 code B94 billable? +
No, B94 is a non-billable header code. Use a more specific child code from block B94 when submitting claims.
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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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