B68.0 ICD-10-CM Code: Taenia solium taeniasis
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) / Helminthiases (B65-B83)
B68.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceTaenia solium taeniasis
An intestinal infection caused by the Taenia solium (pork) tapeworm, where the parasite lives in the small intestine.
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- Pork tapeworm (infection)
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for B68.0 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for B68.0 in this effective period.
Excludes 1
Official- cysticercosis (B69.-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for B68.0 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for B68.0 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for B68.0 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 B68.0 an HCC code?
No. B68.0 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
B68.0 is the ICD-10-CM diagnosis code for taenia solium taeniasis. An intestinal infection caused by the Taenia solium (pork) tapeworm, where the parasite lives in the small intestine. B68.0 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).
B68.0 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.
Distinguish between taeniasis (adult tapeworm in intestine) and cysticercosis (larval stage in tissues); B68.0 is for intestinal infection only.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B68.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Distinguish between taeniasis (adult tapeworm in intestine) and cysticercosis (larval stage in tissues); B68.0 is for intestinal infection only
- •Document exposure history (consumption of undercooked pork) and gastrointestinal symptoms to support diagnosis