DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

J4B diagnosis code · Billable category · FY2027

J4B Pulmonary mycetoma

  • Billable
  • New in FY2027
  • MCC
  • POA reported

J4B ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.

New in FY2027 (effective October 1, 2026). NCHS conversion table, previous assignment: B47.- and J98.8, B37.1, B38.0, B38.1, B38.2, B44.1 (effective 2026).

CC / MCC
MCC
MS-DRG
177-179, 791, 793, 974-976
HCC V28
Pending
POA
Reported
Code Editor
–
Index entries
2

Instructions

At J4B

Inclusion terms

  • Pulmonary fungal ball

Code also

  • , if known, associated infection, such as:
  • aspergillosis (B44.-) B44
  • chronic pulmonary coccidioidomycosis (B38.1) B38.1
  • pulmonary candidiasis (B37.1) B37.1

Notes that also apply

Block J40-J4B instructions (Excludes1 1, Excludes2 1): printed on the block page.

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Ball, pulmonary fungal → J4B
  • Mycetomapulmonary → J4B

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for J4B
CC / MCCMCC
PDX exclusion list0203 (24 codes)
Appendix BMDC 04 Diseases and Disorders of the Respiratory System, MS-DRG 177-179 (Respiratory Infections and Inflammations with MCC…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 791 (Prematurity with Major Problems…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 793 (Full Term Neonate with Major Problems…); MDC 25 Human Immunodeficiency Virus Infections, MS-DRG 974-976 (HIV with Major Related Condition with MCC…)
Code Editor–
POAReported
HCC V28Pending: new in FY2027

MCC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy