B51.9
B51.9: Plasmodium vivax malaria without complication
Billable / specific codeICD-10-CM
B51.9 is a billable, specific ICD-10-CM code for plasmodium vivax malaria without complication. It is valid for submission on a claim.
Check B51.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Plasmodium vivax malaria NOS
Other codes that can never be billed with B51.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
B51.9 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
- Malaria, malarial›Plasmodium›vivax NEC
Code history
Unchanged in every release from FY2024 to FY2027.