Is B53.1 a billable ICD-10-CM code?

Yes. B53.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does B53.1 sit in the tabular list?

Certain infectious and parasitic diseases (A00-B99), in the block Protozoal diseases (B50-B64).

What cannot be coded together with B53.1?

B53.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

B53.1

B53.1 — Malaria due to simian plasmodia

Billable / specific codeICD-10-CM

B53.1 is a billable, specific ICD-10-CM code for malaria due to simian plasmodia. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Malaria due to simian plasmodia with Plasmodium falciparum (B50.-)
Malaria due to simian plasmodia with Plasmodium malariae (B52.-)
Malaria due to simian plasmodia with Plasmodium ovale (B53.0)
Malaria due to simian plasmodia with Plasmodium vivax (B51.-)

Risk adjustment

B53.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How B53.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to B53.1.

Monkey malaria
Simian malaria
Malaria, malarial›Plasmodium›simian

Related codes at this level

Codes that share B53. If B53.1 is not quite right, the correct code is usually one of these.

Questions about B53.1

Is B53.1 a billable ICD-10-CM code?: Yes. B53.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does B53.1 sit in the tabular list?: Certain infectious and parasitic diseases (A00-B99), in the block Protozoal diseases (B50-B64).
What cannot be coded together with B53.1?: B53.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.