B69.89 ICD-10-CM Code: Cysticercosis of other sites
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Helminthiases (B65-B83)
B69.89
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCysticercosis of other sites
This code describes a parasitic infection caused by tapeworm larvae (cysticercosis) that affects body areas not specified elsewhere, such as the heart, eye, or other tissues. The infection occurs when a person ingests contaminated food or water containing tapeworm eggs.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for B69.89 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for B69.89 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for B69.89 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for B69.89 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for B69.89 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for B69.89 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for B69.89 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 B69.89 an HCC code?
No. B69.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
B69.89 is the ICD-10-CM diagnosis code for cysticercosis of other sites. This code describes a parasitic infection caused by tapeworm larvae (cysticercosis) that affects body areas not specified elsewhere, such as the heart, eye, or other tissues. The infection occurs when a person ingests contaminated food or water containing tapeworm eggs. B69.89 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).
B69.89 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.
Use this code only when cysticercosis affects sites other than the brain, eye, or muscle, which have their own specific codes (B69.0, B69.1, B69.81).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B69.89 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 cysticercosis affects sites other than the brain, eye, or muscle, which have their own specific codes (B69.0, B69.1, B69.81)
- •Always document the specific anatomical site affected in the medical record to ensure accurate coding and consider querying the provider if the location is unclear