B66.3 ICD-10-CM Code: Fascioliasis
HCC Buddy Code Card
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Helminthiases (B65-B83)
B66.3
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceFascioliasis
Fascioliasis is a parasitic infection caused by liver flukes (flatworms) that are acquired by eating contaminated freshwater plants like watercress. The parasites live in the bile ducts and liver, causing inflammation and digestive problems.
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
Inclusion Terms
Official- Infection due to Fasciola gigantica
- Infection due to Fasciola hepatica
- Infection due to Fasciola indica
- Sheep liver fluke disease
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for B66.3 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for B66.3 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for B66.3 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for B66.3 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for B66.3 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for B66.3 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 B66.3 an HCC code?
No. B66.3 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
B66.3 is the ICD-10-CM diagnosis code for fascioliasis. Fascioliasis is a parasitic infection caused by liver flukes (flatworms) that are acquired by eating contaminated freshwater plants like watercress. The parasites live in the bile ducts and liver, causing inflammation and digestive problems. B66.3 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).
B66.3 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.
Fascioliasis is typically acquired in endemic areas (parts of South America, Europe, Africa, and Asia) - document the geographic exposure or travel history when available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B66.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Fascioliasis is typically acquired in endemic areas (parts of South America, Europe, Africa, and Asia) - document the geographic exposure or travel history when available
- •This code represents the disease itself; if complications such as cholangitis or hepatitis develop, code those conditions separately in addition to B66.3