B51.0

B51.0: Plasmodium vivax malaria with rupture of spleen

Billable / specific codeICD-10-CM

B51.0 is a billable, specific ICD-10-CM code for plasmodium vivax malaria with rupture of spleen. It is valid for submission on a claim.

Check B51.0 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above B51.0

A category’s note binds every code beneath it.

Written on B51: Plasmodium vivax malaria

plasmodium vivax with Plasmodium falciparum (B50.-)

Other codes that can never be billed with B51.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

D77Other disorders of blood and blood-forming organs in diseases classified elsewhere
B52Plasmodium malariae malaria
B53.0Plasmodium ovale malaria
B53.1Malaria due to simian plasmodia
D73.5Infarction of spleen

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

B51.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A58801Billing and Coding: Pharmacogenomics Testing
A58812Billing and Coding: Pharmacogenomics Testing
A59915Billing and Coding: Pharmacogenomic Testing

Alphabetic index entries that lead here

Rupture, ruptured›spleen›due to P. vivax malaria
Malaria, malarial›vivax›with›ruptured spleen

Code history

Unchanged in every release from FY2024 to FY2027.