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B50 ICD-10-CM Code: Plasmodium falciparum malaria

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Protozoal diseases (B50-B64)

B50

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Plasmodium falciparum malaria

Plasmodium falciparum malaria

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
B5Protozoal diseases (B50-B64)
B50Plasmodium falciparum malaria

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B50 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B50 in this effective period.

Related Child Codes

Official
B50.0Plasmodium falciparum malaria with cerebral complications
B50.8Other severe and complicated Plasmodium falciparum malaria
B50.9Plasmodium falciparum malaria, unspecified

Includes

Official
  • mixed infections of Plasmodium falciparum with any other Plasmodium species

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B50 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B50 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B50 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B50 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

B50 is the ICD-10-CM diagnosis code for plasmodium falciparum malaria. B50 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering protozoal diseases (b50-b64).

Header codes like B50 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at B50's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B50 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • mixed infections of Plasmodium falciparum with any other Plasmodium species

Child Codes

Code Hierarchy

B50Plasmodium falciparum malaria
B50Plasmodium falciparum malaria

Work B50 in HCC Buddy

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