2027 ICD-10-CM Diagnosis Code B08.4Enteroviral vesicular stomatitis with exanthem
ICD-10-CM Codes›A00–B99›B00-B09›B08
- Billable — Valid for Submission
- Not Chronic
B08.4 is a billable ICD-10-CM diagnosis code for enteroviral vesicular stomatitis with exanthem. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 865 through 866. Coders also document this condition as hand foot and mouth disease. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury; Caries, periodontitis, and other preventable dental conditions; and Diseases of mouth; excluding dental.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Hand foot and mouth disease
- Mucosal vesicle
- Nail shedding
- Onychomadesis
- Onychomadesis due to and following hand foot and mouth disease
- Oral mucosal viral disease
- Vesicular stomatitis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to B08.4: its own notes plus those printed at B08 and Chapter 1. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- diseases generally recognized as communicable or transmissible
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Hand, foot and mouth disease
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify resistance to antimicrobial drugs (Z16.-)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disease, diseased See Also: Syndrome;
hand, foot and mouth B08.4
Exanthem, exanthema See Also: Rash;
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Viral Infections
Viruses are very tiny germs. They are made of genetic material (either DNA or RNA) inside of a protein coating. There are a huge number of viruses on earth. Only a small number of them can infect humans. Those viruses can infect our cells, which may cause disease.
The full article covers:
- What are viruses?
- How are viruses spread?
- How do viruses cause disease?
- What are the treatments for viral infections?
- Can viral infections be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert B08.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About B08.4Overview
What is the ICD-10 code for enteroviral vesicular stomatitis with exanthem?
The ICD-10-CM code for enteroviral vesicular stomatitis with exanthem is B08.4 (sometimes written as B084). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is B08.4 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report enteroviral vesicular stomatitis with exanthem on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does B08.4 group to?
When enteroviral vesicular stomatitis with exanthem is the principal diagnosis on an inpatient stay, it groups to MS-DRG 866, 865, with relative weights from 0.8691 to 1.3153 depending on complications. Higher weights mean higher Medicare reimbursement.
Can B08.4 be reported with A93.8?
Not as a rule. The Excludes1 note at B08, which applies to B08.4, lists "vesicular stomatitis virus disease (A93.8)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of B08.4?
Under the General Equivalence Mappings, enteroviral vesicular stomatitis with exanthem converts to ICD-9-CM 074.3 (hand, foot & mouth dis). The mapping is a direct match.
