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B52 ICD-10-CM Code: Plasmodium malariae 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)

B52

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

Plasmodium malariae malaria

Plasmodium malariae 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)
B52Plasmodium malariae malaria

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B52 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B52 in this effective period.

Related Child Codes

Official
B52.0Plasmodium malariae malaria with nephropathy
B52.8Plasmodium malariae malaria with other complications
B52.9Plasmodium malariae malaria without complication

Includes

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

Excludes 1

Official
  • Plasmodium falciparum (B50.-)
  • Plasmodium vivax (B51.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B52 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B52 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B52 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

B52 is the ICD-10-CM diagnosis code for plasmodium malariae malaria. B52 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 B52 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 B52'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 B52 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

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

Excludes 1, Do NOT code together

  • Plasmodium falciparum (B50.-)
  • Plasmodium vivax (B51.-)

Child Codes

Code Hierarchy

B52Plasmodium malariae malaria
B52Plasmodium malariae malaria

Work B52 in HCC Buddy

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