B33.0 ICD-10-CM Code: Epidemic myalgia
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term
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 v43, Appendix B.
- MS-DRG 193 — SIMPLE PNEUMONIA AND PLEURISY WITH MCC (MDC 04)
- MS-DRG 194 — SIMPLE PNEUMONIA AND PLEURISY WITH CC (MDC 04)
- MS-DRG 195 — SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC (MDC 04)
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 B33.0 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Inclusion Terms
Alternative terms the tabular list files under this code.
- Bornholm disease
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.
Indexed Clinical Terms (19)
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.
- Bornholm disease
- Coxsackie (virus) (infection), pleurodynia
- Daae (-Finsen) disease (epidemic pleurodynia)
- Dabney's grip
- Devil's, grip
- Disease, diseased, Bornholm (epidemic pleurodynia)
- Disease, diseased, Daae (-Finsen) (epidemic pleurodynia)
- Disease, diseased, Sylvest's (epidemic pleurodynia)
- Grip, Dabney's
- Grip, devil's
- Hiccup, hiccough, epidemic
- Myalgia, epidemic (cervical)
- Myositis, epidemic
- Pleurodynia, epidemic
- Pleurodynia, viral
- Singultus, epidemicus
- Spasm, spastic, spasticity (s), diaphragm (reflex), epidemic
- Spasm, spastic, spasticity (s), epidemic diaphragmatic (transient)
- Sylvest's disease
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
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 structured relationships — computed from published CMS and AHRQ datasets
Other codes that name B33.0 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 2 Excludes1 notes: R07 — Pain in throat and chest, R07.81 — Pleurodynia.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Code First instruction: H67 — Otitis media in diseases classified elsewhere (via B33.-).
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 (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 3 MS-DRGs: DRG 193 (MDC 04), DRG 194 (MDC 04), DRG 195 (MDC 04).
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 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 “Coxsackie”, “Myositis”, “Devil's”, …; these codes share that main term but sit in a different category of the Tabular List.
A08.39 — Other viral enteritis (enteritis), A18.09 — Other musculoskeletal tuberculosis (in, tuberculosis), A30.9 — Leprosy, unspecified (in, leprosy), A48.0 — Gas gangrene (clostridial), A51.49 — Other secondary syphilitic conditions (in, syphilis, secondary), A52.78 — Syphilis of other musculoskeletal tissue (in, syphilis, late), A87.0 — Enteroviral meningitis (meningitis), A88.8 — Other specified viral infections of central nervous system (central nervous system NEC), B08.5 — Enteroviral vesicular pharyngitis (pharyngitis), B34.1 — Enterovirus infection, unspecified, B49 — Unspecified mycosis (mycotic), B58.82 — Toxoplasma myositis (in, toxoplasmosis), B65.9 — Schistosomiasis, unspecified (in, bilharziasis), B69.81 — Myositis in cysticercosis (in, cysticercosis), B75 — Trichinellosis (in, trichinellosis), B97.11 — Coxsackievirus as the cause of diseases classified elsewhere (as cause of disease classified elsewhere), D69.2 — Other nonthrombocytopenic purpura (pinches), D86.87 — Sarcoid myositis (in, sarcoidosis), F44.4 — Conversion disorder with motor symptom or deficit (hysterical), F45.8 — Other somatoform disorders (psychogenic), +128 more
Contextual Map
Every relationship of B33.0 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 B33.0 with these 3 related codes 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-fy2026
- B25-B34 — Other viral diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- R07 — Pain in throat and chest[Excludes1]: “epidemic myalgia (B33.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R07.81 — Pleurodynia[Excludes1]: “epidemic pleurodynia (B33.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- H67 — Otitis media in diseases classified elsewhere[Code First](via B33.-): “viral disease NEC (B00-B34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- INF008 — Viral infection[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 193 — SIMPLE PNEUMONIA AND PLEURISY WITH MCC[MS-DRG]: “SIMPLE PNEUMONIA AND PLEURISY WITH MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 194 — SIMPLE PNEUMONIA AND PLEURISY WITH CC[MS-DRG]: “SIMPLE PNEUMONIA AND PLEURISY WITH CC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 195 — SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC[MS-DRG]: “SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory System — 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. 3,998 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries (19)
- Bornholm disease[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Coxsackie (virus) (infection), pleurodynia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Daae (-Finsen) disease (epidemic pleurodynia)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Dabney's grip[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Devil's, grip[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, Bornholm (epidemic pleurodynia)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, Daae (-Finsen) (epidemic pleurodynia)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, Sylvest's (epidemic pleurodynia)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- and 11 more
Nearest codes (11)
- B33 — Other viral diseases, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.1 — Ross River disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.2 — Viral carditis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.20 — Viral carditis, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.21 — Viral endocarditis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.22 — Viral myocarditis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.23 — Viral pericarditis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B33.24 — Viral cardiomyopathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 3 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 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 — v43 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 structured 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 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.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
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. "B33.0 — Epidemic myalgia." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/b33.0-epidemic-myalgia
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionEpidemic myalgia
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 B33.0 in its code family, with their registry titles.
- B33 — Other viral diseases, not elsewhere classified
- B33.1 — Ross River disease
- B33.2 — Viral carditis
- B33.20 — Viral carditis, unspecified
- B33.21 — Viral endocarditis
- B33.22 — Viral myocarditis
- B33.23 — Viral pericarditis
- B33.24 — Viral cardiomyopathy
- B33.3 — Retrovirus infections, not elsewhere classified
- B33.4 — Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]