Is ICD-10-CM code B43 billable?

No, B43 (Chromomycosis and pheomycotic abscess) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code B43 belong to?

B43 belongs to Chapter 1 of the ICD-10-CM tabular list: A00–B99 (Certain Infectious and Parasitic Diseases).

B43Not billable, use a more specific code below

Chromomycosis and pheomycotic abscess

In Mycoses (B35-B49), chapter 1: Certain Infectious and Parasitic Diseases

5 billable codes under B43: none are a CC or MCC; none map to an HCC.

Instructional notes

Also applies, from Mycoses (B35-B49)

These notes sit on B35-B49 and apply to every code under it, including B43.

Excludes2: not included here, code separately if applicable

hypersensitivity pneumonitis due to organic dust (J67.-)
mycosis fungoides (C84.0-)

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.

Human Immunodeficiency Virus (HIV) Infections (page 19)
Infectious agents as the cause of diseases classified to other chapters (page 22)
Infections resistant to antibiotics (page 22)
Sepsis, Severe Sepsis, and Septic Shock (page 23)
Methicillin Resistant Staphylococcus aureus (MRSA) Conditions (page 27)
Zika virus infections (page 28)
Coronavirus infections (page 28)

Read Section I.C.1 (page 19)

All codes under B43

B43 can't be used on a claim. Pick a billable code below; grey headings group them.

B43 MS-DRGs

As the principal diagnosis, all 5 billable codes under B43 group to MS-DRG 867, 868, or 869 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

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

Abscess

An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms. Pus is a mixture of living and dead white blood cells, germs, and dead tissue.

Fungal Infections

If you have ever had athlete's foot or a yeast infection, you can blame a fungus. A fungus is a primitive organism. Mushrooms, mold and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.

Code history

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