B52.8 ICD-10-CM Code: Plasmodium malariae malaria with other complications
HCC Buddy Code Card
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Protozoal diseases (B50-B64)
B52.8
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePlasmodium 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
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for B52.8 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for B52.8 in this effective period.
Related Child Codes
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
OfficialICD-10-CM does not list Code First sequencing instructions for B52.8 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for B52.8 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for B52.8 in this effective period.
Buddy Documentation Tip
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
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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