B49Billable, valid for claims from October 1, 2026

Unspecified mycosis

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

  • B49 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 B35-B49 below.
  • As a secondary diagnosis it is a CC (complication or comorbidity), which can raise the MS-DRG payment. It doesn't count when the principal diagnosis is one of 2 closely related codes.
  • 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).
  • 528 US deaths in 2024 had an underlying cause in category B49, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.

Also indexed as: Arthritis, in, mycosis NEC; Arthritis, mycotic NEC; Bronchomycosis NOS; Cough, tea taster's; Diarrhea, mycotic NEC; Disease, fungus NEC; Disease, mycotic; Fungemia NOS; Fungus, disease NOS; Infection, fungus NOS; Infection, mycelium NOS; Infection, mycotic NOS; Keratomycosis; Meningitis, mycotic NEC; Mycelium infection; Mycosis; Myositis, in, mycosis; Myositis, mycotic; Pneumomycosis

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Instructional notes

Includes: conditions that are coded here

  • Fungemia NOS

Also applies, from Mycoses (B35-B49)

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

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.

Read Section I.C.1 (page 19)

B49 MS-DRGs

As the principal diagnosis, B49 groups 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.

Related conditions

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

B49 is in Fungal infections (INF004, its default category), with 106 codes. Others in it:

Medicare coverage articles listing B49

This Medicare billing and coding article lists B49 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.

Other codes that refer to B49

Notes on these codes point to B49.

  • J99 Code First: bronchomycosis (B49)
  • M01 Code First: mycoses (B35-B49)

About the condition

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

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.

Read more about fungal 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).

  • 117.9 Other and unspecified mycoses (approximate)
ICD-9 to ICD-10 converter