B09Billable, valid for claims from October 1, 2026

Unspecified viral infection characterized by skin and mucous membrane lesions

In Viral infections characterized by skin and mucous membrane lesions (B00-B09), chapter 1: Certain Infectious and Parasitic Diseases

  • B09 is an unspecified code: use it only when the record doesn't document anything more specific. If the record has more detail, check the other codes under B00-B09 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).

Also indexed as: Enanthema; Encephalitis, postexanthematous NEC; Exanthem, viral, virus; Infection, virus, viral NOS, exanthem NOS; Keratitis, in, exanthema; Keratoconjunctivitis, in exanthema; Roseola

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Instructional notes

Includes: conditions that are coded here

  • Viral enanthema NOS
  • Viral exanthema NOS

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.

Read Section I.C.1 (page 19)

Other codes under B00-B09

Viral infections characterized by skin and mucous membrane lesions (B00-B09)

B09 MS-DRGs

As the principal diagnosis, B09 groups to MS-DRG 865 or 866 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

B09 is in Viral infection (INF008, its default category), with 309 codes. Others in it:

  • A08.0 Rotaviral enteritis
  • A08.11 Acute gastroenteropathy due to Norwalk agent
  • A08.19 Acute gastroenteropathy due to other small round viruses
  • A08.2 Adenoviral enteritis
  • A08.31 Calicivirus enteritis
  • A08.32 Astrovirus enteritis
  • A08.39 Other viral enteritis
  • A08.4 Viral intestinal infection, unspecified

Other codes that refer to B09

Notes on these codes point to B09.

  • O98.5 Includes: Conditions in A80-B09, B25-B34, R87.81-, R87.82-

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Viral Infections

Viruses are very tiny germs. They are made of genetic material (either DNA or RNA) inside of a protein coating. There are a huge number of viruses on earth. Only a small number of them can infect humans. Those viruses can infect our cells, which may cause disease. Some of the diseases that viruses can cause include the common cold, the flu, COVID-19, and HIV.

Read more about viral infections on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 057.8 Other specified viral exanthemata (approximate)
  • 057.9 Viral exanthem, unspecified (approximate)
ICD-9 to ICD-10 converter