B54 diagnosis code · Billable category · FY2027
B54 Unspecified malaria
- Billable
- CC
- POA reported
B54 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.
Where it sits
- CC / MCC
- CC
- MS-DRG
- 867-869
- HCC V28
- –
- POA
- Reported
- Code Editor
- –
- Index entries
- 16
Instructions
Notes that also apply
Block B50-B64 instructions (Excludes1 2): printed on the block page.
Chapter 1 instructions (Includes 1, Excludes2 5, Use additional code 1): printed on the chapter 1 page.
Index entries
- Malaria, malarial (fever) → B54
- Remittent fever (malarial) → B54
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)›malarial → B54 [D63.8]
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)›marsh → B54 [D63.8]
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)›paludal → B54 [D63.8]
- Chill(s)›congestive in malarial regions → B54
- Malaria, malarial (fever)›clinically diagnosed (without parasitological confirmation) → B54
- Malaria, malarial (fever)›congestion, congestive → B54
- Malaria, malarial (fever)›hemorrhagic → B54
- Malaria, malarial (fever)›recurrent → B54
- Malaria, malarial (fever)›remittent → B54
- Malaria, malarial (fever)›spleen → B54
- Malaria, malarial (fever)›typhoid → B54
- Splenitis (interstitial) (malignant) (nonspecific)›malarial → B54 [D77]
- Splenomegaly, splenomegalia (Bengal) (cryptogenic) (idiopathic) (tropical)›malarial → B54 [D77]
- Disorder (of)›liver›malarial → B54 [K77]
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | CC |
|---|---|
| PDX exclusion list | 0227 (32 codes) |
| Appendix B | MDC 18 Infectious and Parasitic Diseases, Systemic or Unspecified Sites, MS-DRG 867-869 (Other Infectious and Parasitic Diseases Diagnoses with MCC…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | – |
CC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.