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B60.02 ICD-10-CM Code: Babesiosis due to Babesia duncani

ICD-10-CM Code View

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

B60.02

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

Babesiosis due to Babesia duncani

Babesiosis is a rare parasitic infection transmitted by tick bites, caused specifically by the Babesia duncani parasite. This infection affects red blood cells and can cause fever, fatigue, and anemia, particularly in people with weakened immune systems.

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
B60Other protozoal diseases, not elsewhere classified
B60.0Babesiosis
B60.02Babesiosis due to Babesia duncani

Inclusion Terms

Official
  • Infection due to B. duncani and B. duncani-type species

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B60.02 in this effective period.

Related Child Codes

Official
B60.00Babesiosis, unspecified
B60.01Babesiosis due to Babesia microti
B60.03Babesiosis due to Babesia divergens
B60.09Other babesiosis

Includes

Official

ICD-10-CM does not list Includes notes for B60.02 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B60.02 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B60.02 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B60.02 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B60.02 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Babesia duncani is one of several Babesia species that cause babesiosis in the US; verify the specific organism identified in lab results or culture before coding to ensure accurate subspecies selection
This code requires documentation of the causative organism; if only 'babesiosis' is documented without organism identification, use the unspecified babesiosis code (B60.9) instead

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 →

Is B60.02 an HCC code?

No. B60.02 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
B60.02
Description
Babesiosis due to Babesia duncani
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

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

B60.02 is the ICD-10-CM diagnosis code for babesiosis due to babesia duncani. Babesiosis is a rare parasitic infection transmitted by tick bites, caused specifically by the Babesia duncani parasite. This infection affects red blood cells and can cause fever, fatigue, and anemia, particularly in people with weakened immune systems. B60.02 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering protozoal diseases (b50-b64).

B60.02 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.

Babesia duncani is one of several Babesia species that cause babesiosis in the US; verify the specific organism identified in lab results or culture before coding to ensure accurate subspecies selection.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B60.02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Babesia duncani is one of several Babesia species that cause babesiosis in the US; verify the specific organism identified in lab results or culture before coding to ensure accurate subspecies selection
  • This code requires documentation of the causative organism; if only 'babesiosis' is documented without organism identification, use the unspecified babesiosis code (B60.9) instead

Child Codes

Code Hierarchy

B60.02 code history

Code setChange
FY2021 (effective Oct 1, 2020)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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