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B80 ICD-10-CM Code: Enterobiasis

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

B80

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

Enterobiasis

Enterobiasis is a parasitic infection caused by pinworms (small roundworms) that live in the colon and rectum, commonly affecting children and causing itching around the anus, especially at night. The infection spreads through ingestion of microscopic eggs and is easily treatable with medication.

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

Official
B8Helminthiases (B65-B83)
B80Enterobiasis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for B80 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for B80 in this effective period.

Related Child Codes

Official

ICD-10-CM does not list child codes under B80 for this display context.

Includes

Official
  • oxyuriasis
  • pinworm infection
  • threadworm infection

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for B80 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for B80 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for B80 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for B80 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Enterobiasis is typically an outpatient diagnosis; ensure documentation specifies the site of infection if there are complications affecting other body systems
This code does not require a fifth character for laterality or severity; verify that the provider has confirmed the diagnosis through clinical presentation or laboratory findings (stool sample or tape test) before coding

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 B80 an HCC code?

No. B80 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

B80 is the ICD-10-CM diagnosis code for enterobiasis. Enterobiasis is a parasitic infection caused by pinworms (small roundworms) that live in the colon and rectum, commonly affecting children and causing itching around the anus, especially at night. The infection spreads through ingestion of microscopic eggs and is easily treatable with medication. B80 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).

B80 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.

Enterobiasis is typically an outpatient diagnosis; ensure documentation specifies the site of infection if there are complications affecting other body systems.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B80 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Enterobiasis is typically an outpatient diagnosis; ensure documentation specifies the site of infection if there are complications affecting other body systems
  • This code does not require a fifth character for laterality or severity; verify that the provider has confirmed the diagnosis through clinical presentation or laboratory findings (stool sample or tape test) before coding

Includes

  • oxyuriasis
  • pinworm infection
  • threadworm infection

Code Hierarchy

B80Enterobiasis
B80Enterobiasis

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