Is B85 a billable ICD-10-CM code?

No. B85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does B85 sit in the tabular list?

Certain infectious and parasitic diseases (A00-B99), in the block Pediculosis, acariasis and other infestations (B85-B89).

B85

B85 — Pediculosis and phthiriasis

Non-billable headerICD-10-CM

B85 is a non-billable header ICD-10-CM code for pediculosis and phthiriasis. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

B85 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead B85

5 child codes. Green means billable.

B85.0Pediculosis due to Pediculus humanus capitis
B85.1Pediculosis due to Pediculus humanus corporis
B85.2Pediculosis, unspecified
B85.3Phthiriasis
B85.4Mixed pediculosis and phthiriasis

Questions about B85

Is B85 a billable ICD-10-CM code?: No. B85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does B85 sit in the tabular list?: Certain infectious and parasitic diseases (A00-B99), in the block Pediculosis, acariasis and other infestations (B85-B89).