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B51 ICD-10-CM Code: Plasmodium vivax malaria

ICD-10-CM Code View

HCC Buddy Code Card

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

B51

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

Plasmodium vivax malaria

Plasmodium vivax 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)
B51Plasmodium vivax malaria

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B51 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B51 in this effective period.

Related Child Codes

Official
B51.0Plasmodium vivax malaria with rupture of spleen
B51.8Plasmodium vivax malaria with other complications
B51.9Plasmodium vivax malaria without complication

Includes

Official
  • mixed infections of Plasmodium vivax with other Plasmodium species, except Plasmodium falciparum

Excludes 1

Official
  • plasmodium vivax with Plasmodium falciparum (B50.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B51 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B51 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B51 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
B51
Description
Plasmodium vivax malaria
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

B51 is the ICD-10-CM diagnosis code for plasmodium vivax malaria. B51 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 B51 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 B51'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 B51 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • mixed infections of Plasmodium vivax with other Plasmodium species, except Plasmodium falciparum

Excludes 1, Do NOT code together

  • plasmodium vivax with Plasmodium falciparum (B50.-)

Child Codes

Code Hierarchy

B51Plasmodium vivax malaria
B51Plasmodium vivax malaria

More on B51

Referenced in blog posts

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