Skip to content

B52.8 ICD-10-CM Code: Plasmodium malariae malaria with other complications

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

B52.8

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Plasmodium malariae malaria with other complications

This is a type of malaria infection caused by the Plasmodium malariae parasite that has developed additional serious health complications beyond the basic infection. The complications can affect various body systems and require careful documentation to ensure proper treatment and monitoring.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

Basket needed

Code Book Path

Official
B52Plasmodium malariae malaria
B52.8Plasmodium malariae malaria with other complications

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B52.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B52.8 in this effective period.

Related Child Codes

Official
B52.0Plasmodium malariae malaria with nephropathy
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 B52.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B52.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B52.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Always document the specific complications present (such as acute kidney injury, severe anemia, or cerebral involvement) in addition to this code, as the 'other complications' designation requires clarification in the medical record
Verify that Plasmodium malariae has been confirmed through laboratory testing (blood smear or PCR) before coding, and ensure the complication is directly related to the malarial infection rather than a pre-existing condition

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.

Is B52.8 an HCC code?

No. B52.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

B52.8 is the ICD-10-CM diagnosis code for plasmodium malariae malaria with other complications. This is a type of malaria infection caused by the Plasmodium malariae parasite that has developed additional serious health complications beyond the basic infection. The complications can affect various body systems and require careful documentation to ensure proper treatment and monitoring. B52.8 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering protozoal diseases (b50-b64).

B52.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Always document the specific complications present (such as acute kidney injury, severe anemia, or cerebral involvement) in addition to this code, as the 'other complications' designation requires clarification in the medical record.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B52.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Always document the specific complications present (such as acute kidney injury, severe anemia, or cerebral involvement) in addition to this code, as the 'other complications' designation requires clarification in the medical record
  • Verify that Plasmodium malariae has been confirmed through laboratory testing (blood smear or PCR) before coding, and ensure the complication is directly related to the malarial infection rather than a pre-existing condition

Child Codes

Code Hierarchy

Work B52.8 in HCC Buddy

Open B52.8 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.