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B65.8 ICD-10-CM Code: Other schistosomiasis

B65.8 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupB65.8

FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Helminthiases (B65-B83)

B65.8

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

Other schistosomiasis

Schistosomiasis infection caused by parasitic worms other than the three main species, or a combination of multiple schistosomiasis types affecting various body systems.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Infection due to Schistosoma intercalatum
  • Infection due to Schistosoma mattheei
  • Infection due to Schistosoma mekongi

Excludes 2

Official
  • carrier or suspected carrier of infectious disease (Z22.-)Inherited from A00-B99
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)Inherited from A00-B99
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)Inherited from A00-B99
  • influenza and other acute respiratory infections (J00-J22)Inherited from A00-B99

Includes

Official
  • diseases generally recognized as communicable or transmissibleInherited from A00-B99, B65
  • snail feverInherited from A00-B99, B65

Excludes 1

Official
  • certain localized infections - see body system-related chaptersInherited from A00-B99

Code First

Official

No Code First sequencing instructions are included in this display for B65.8. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code to identify resistance to antimicrobial drugs (Z16.-)Inherited from A00-B99

Code Also

Official

No Code Also instructions are included in this display for B65.8. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the specific type of schistosomiasis does not fit B65.0, B65.1, B65.2, or B65.3
Document which organs are affected (liver, lungs, urinary system) to provide complete clinical picture

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 B65.8 an HCC code?

No. B65.8 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
B65.8
Description
Other schistosomiasis
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
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

B65.8 is the ICD-10-CM diagnosis code for other schistosomiasis. Schistosomiasis infection caused by parasitic worms other than the three main species, or a combination of multiple schistosomiasis types affecting various body systems. B65.8 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).

B65.8 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use this code only when the specific type of schistosomiasis does not fit B65.0, B65.1, B65.2, or B65.3.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for B65.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the specific type of schistosomiasis does not fit B65.0, B65.1, B65.2, or B65.3
  • Document which organs are affected (liver, lungs, urinary system) to provide complete clinical picture

Child Codes

Code Hierarchy

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