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B33.23 ICD-10-CM Code: Viral pericarditis

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

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 314 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC (MDC 05)
  • MS-DRG 315 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MDC 05)
  • MS-DRG 316 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 05)

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.

Code Overview

Viral pericarditis is a billable ICD-10-CM diagnosis code (B33.23).

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 (2)

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.

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). 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 structured relationships — computed from published CMS and AHRQ datasets

Other codes that name B33.23 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: I30 — Acute pericarditis, I32 — Pericarditis in diseases classified elsewhere.

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.

Referenced by 1 Code Also instruction: M35.81 — Multisystem inflammatory syndrome.

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 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 17 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 314 (MDC 05), DRG 315 (MDC 05), DRG 316 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR006 — Pericarditis and pericardial disease (default); INF008 — Viral infection.

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.

I01.0 — Acute rheumatic pericarditis, I09.2 — Chronic rheumatic pericarditis, I27.841 — Fontan-associated lymphatic dysfunction, I27.848 — Other Fontan-associated condition, I27.849 — Fontan related circulation, unspecified, I30.0 — Acute nonspecific idiopathic pericarditis, I30.1 — Infective pericarditis, I30.8 — Other forms of acute pericarditis, I30.9 — Acute pericarditis, unspecified, I31.39 — Other pericardial effusion (noninflammatory), I31.8 — Other specified diseases of pericardium, I31.9 — Disease of pericardium, unspecified, I87.8 — Other specified disorders of veins, I87.9 — Disorder of vein, unspecified, I99.8 — Other disorder of circulatory system, I99.9 — Unspecified disorder of circulatory system

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Pericarditis and pericardial disease, Viral infection).

A39.53 — Meningococcal pericarditis, I01.0 — Acute rheumatic pericarditis, I09.2 — Chronic rheumatic pericarditis, I30.0 — Acute nonspecific idiopathic pericarditis, I30.1 — Infective pericarditis, I30.8 — Other forms of acute pericarditis, I30.9 — Acute pericarditis, unspecified, I31.0 — Chronic adhesive pericarditis, I31.1 — Chronic constrictive pericarditis, I31.2 — Hemopericardium, not elsewhere classified, I31.3 — Pericardial effusion (noninflammatory), I31.31 — Malignant pericardial effusion in diseases classified elsewhere, I31.39 — Other pericardial effusion (noninflammatory), I31.4 — Cardiac tamponade, I31.8 — Other specified diseases of pericardium, I31.9 — Disease of pericardium, unspecified, I32 — Pericarditis in diseases classified elsewhere, M32.12 — Pericarditis in systemic lupus erythematosus, +309 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Coxsackie”, “Pericarditis”; these codes share that main term but sit in a different category of the Tabular List.

A08.39 — Other viral enteritis (enteritis), A18.84 — Tuberculosis of heart (tuberculous), A39.53 — Meningococcal pericarditis (meningococcal), A52.06 — Other syphilitic heart involvement (syphilitic), A54.83 — Gonococcal heart infection (gonococcal), 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, B97.11 — Coxsackievirus as the cause of diseases classified elsewhere (as cause of disease classified elsewhere), I01.0 — Acute rheumatic pericarditis (rheumatic), I02.0 — Rheumatic chorea with heart involvement (acute, with chorea), I09.2 — Chronic rheumatic pericarditis (chronic, rheumatic), I24.1 — Dressler's syndrome (postinfarction), I30.0 — Acute nonspecific idiopathic pericarditis (idiopathic), I30.1 — Infective pericarditis (viral), I30.8 — Other forms of acute pericarditis (fibrinous), I30.9 — Acute pericarditis, unspecified (acute), I31.0 — Chronic adhesive pericarditis (fibrous), I31.1 — Chronic constrictive pericarditis (calcareous), +4 more

Contextual Map

Every relationship of B33.23 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 B33.23 with these 4 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Code First instructions

Referenced by Code Also instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory 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. 17,209 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Coxsackie (virus) (infection), pericarditis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Pericarditis (with decompensation) (with effusion), coxsackie[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (11)

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. "B33.23 — Viral pericarditis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/b33.23-viral-pericarditis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Viral pericarditis

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 B33.23 in its code family, with their registry titles.

View all codes in the B33 family