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B69 ICD-10-CM Code: Cysticercosis

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

B69

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Cysticercosis

Cysticercosis

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
B6Helminthiases (B65-B83)
B69Cysticercosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B69 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B69 in this effective period.

Related Child Codes

Official
B69.0Cysticercosis of central nervous system
B69.1Cysticercosis of eye
B69.8Cysticercosis of other sites
B69.9Cysticercosis, unspecified

Includes

Official
  • cysticerciasis infection due to larval form of Taenia solium

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B69 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B69 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B69 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B69 in this effective period.

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.

What This Code Means

B69 is the ICD-10-CM diagnosis code for cysticercosis. B69 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).

Header codes like B69 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at B69's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • cysticerciasis infection due to larval form of Taenia solium

Child Codes

Code Hierarchy

B69Cysticercosis
B69Cysticercosis

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