B51.8

B51.8: Plasmodium vivax malaria with other complications

Billable / specific codeICD-10-CM

B51.8 is a billable, specific ICD-10-CM code for plasmodium vivax malaria with other complications. It is valid for submission on a claim.

Check B51.8 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above B51.8

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 B51.8

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

B52Plasmodium malariae malaria
B53.0Plasmodium ovale malaria
B53.1Malaria due to simian plasmodia

Risk adjustment

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

Medicare coverage

B51.8 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

Malaria, malarial›vivax›with›complications NEC

Code history

Unchanged in every release from FY2024 to FY2027.