B08.3 ICD-10-CM Code: Erythema infectiosum [fifth disease]
Compare with another codeCheck this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 Excludes1
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.
- Excludes1Never report with this code
- vesicular stomatitis virus disease (A93.8)
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 865 — VIRAL ILLNESS WITH MCC (MDC 18)
- MS-DRG 866 — VIRAL ILLNESS WITHOUT MCC (MDC 18)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B08.3 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on B08.3 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- vesicular stomatitis virus disease (A93.8) Compare B08.3 vs A93.8 →
Source: inherited from B08
Coder workflow for B08.3
MedCoder structured workflow — derived from this code’s own official record
Before you code B08.3
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with B08.3. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in B08.3’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewA93.8
Consider B08.3. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting B08.3(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with B08.3: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareA93.8
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition B08.3 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewA93.8
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name B08.3 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Code First instruction: H67 — Otitis media in diseases classified elsewhere (via B08.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 2 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 2 MS-DRGs: DRG 865 (MDC 18), DRG 866 (MDC 18).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INF008 — Viral infection (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
B34.3 — Parvovirus infection, unspecified
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Viral infection).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Erythema, erythematous”, “Fifth disease”; these codes share that main term but sit in a different category of the Tabular List.
A18.4 — Tuberculosis of skin and subcutaneous tissue (tuberculous), A25.1 — Streptobacillosis (epidemic, arthritic), A26.0 — Cutaneous erysipeloid (migrans), A55 — Chlamydial lymphogranuloma (venereum) (venereal), A69.20 — Lyme disease, unspecified (chronicum migrans), E52 — Niacin deficiency [pellagra] (endemic), I00 — Rheumatic fever without heart involvement (marginatum, inacute rheumatic fever), K14.1 — Geographic tongue (migrans, tongue), L12.0 — Bullous pemphigoid (multiforme, pemphigoides), L22 — Diaper dermatitis (diaper), L24.5 — Irritant contact dermatitis due to other chemical products (due to, chemical NEC, in contact with skin), L30.4 — Erythema intertrigo (intertrigo), L51.0 — Nonbullous erythema multiforme (multiforme, nonbullous), L51.1 — Stevens-Johnson syndrome (multiforme, conjunctiva), L51.8 — Other erythema multiforme (multiforme, specified NEC), L51.9 — Erythema multiforme, unspecified (iris), L52 — Erythema nodosum (nodosum), L53.0 — Toxic erythema (toxic, toxicum NEC), L53.1 — Erythema annulare centrifugum (annulare), L53.2 — Erythema marginatum (marginatum), +11 more
Contextual Map
Every relationship of B08.3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run B08.3 with this related code in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B00-B09 — Viral infections characterized by skin and mucous membrane lesions[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Code First instructions
- H67 — Otitis media in diseases classified elsewhere[Code First](via B08.-): “viral disease NEC (B00-B34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- INF008 — Viral infection[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
- DRG 865 — VIRAL ILLNESS WITH MCC[MS-DRG]: “VIRAL ILLNESS WITH MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 866 — VIRAL ILLNESS WITHOUT MCC[MS-DRG]: “VIRAL ILLNESS WITHOUT MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 18 — Infectious and Parasitic Diseases, Systemic or Unspecified Sites[MDC crossing]: “Infectious and Parasitic Diseases, Systemic or Unspecified Sites — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Disease, diseased, fifth[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Disease, diseased, Sticker's (erythema infectiosum)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Erythema, erythematous (infectional) (inflammation), infectiosum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Fifth disease[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Infection, infected, infective (opportunistic), erythema infectiosum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Megalerythema (epidemic)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Sticker's disease[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (27)
- B08 — Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.0 — Other orthopoxvirus infections[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.01 — Cowpox and vaccinia not from vaccine[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.010 — Cowpox[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.011 — Vaccinia not from vaccine[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.02 — Orf virus disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.03 — Pseudocowpox [milker's node][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- B08.04 — Paravaccinia, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 19 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (7)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "B08.3 — Erythema infectiosum [fifth disease]." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/b08.3-erythema-infectiosum-fifth-disease
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionErythema infectiosum [fifth disease]
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to B08.3 in its code family, with their registry titles.
- B08.1 — Molluscum contagiosum
- B08.2 — Exanthema subitum [sixth disease]
- B08.20 — Exanthema subitum [sixth disease], unspecified
- B08.21 — Exanthema subitum [sixth disease] due to human herpesvirus 6
- B08.22 — Exanthema subitum [sixth disease] due to human herpesvirus 7
- B08.4 — Enteroviral vesicular stomatitis with exanthem
- B08.5 — Enteroviral vesicular pharyngitis
- B08.6 — Parapoxvirus infections
- B08.60 — Parapoxvirus infection, unspecified
- B08.61 — Bovine stomatitis