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v1.0.0
ICD-10 Guide
ICD-10 CodesB60.0

B60.0

B60.0 - Plasmodium falciparum malaria

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B60.0 is a billable code used to indicate a diagnosis of b60.0 - plasmodium falciparum malaria.

Key Diagnostic Point:

Plasmodium falciparum malaria is a severe form of malaria caused by the protozoan parasite Plasmodium falciparum, which is transmitted to humans through the bite of infected female Anopheles mosquitoes. This disease is prevalent in tropical and subtropical regions, particularly in sub-Saharan Africa. Clinical manifestations can range from mild flu-like symptoms to severe complications such as cerebral malaria, anemia, and multi-organ failure. Diagnosis is typically confirmed through blood smears or rapid diagnostic tests that detect malaria antigens. Treatment involves the use of antimalarial medications, with artemisinin-based combination therapies (ACTs) being the first-line treatment. Prompt diagnosis and treatment are crucial to prevent severe outcomes and reduce mortality rates associated with this disease. Due to the potential for drug resistance, ongoing monitoring and adherence to treatment protocols are essential for effective management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiation from other types of malaria (e.g., Plasmodium vivax)
  • Need for accurate documentation of travel history and exposure risk
  • Variability in clinical presentation and severity
  • Potential for co-infections and complications

Audit Risk Factors

  • Inadequate documentation of travel history
  • Failure to document severity of symptoms
  • Incorrect coding of complications
  • Lack of evidence for treatment protocols followed

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including travel and exposure, laboratory results, and treatment response.

Common Clinical Scenarios

Patients presenting with fever, chills, and travel history to endemic areas.

Billing Considerations

Consideration of co-morbid conditions and potential complications.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms, vital signs, and rapid diagnostic test results.

Common Clinical Scenarios

Patients presenting with acute febrile illness and potential malaria exposure.

Billing Considerations

Timeliness of diagnosis and initiation of treatment to prevent severe outcomes.

Coding Guidelines

Inclusion Criteria

Use B60.0 When
  • Follow the official ICD
  • CM coding guidelines for infectious and parasitic diseases
  • Ensure accurate documentation of the type of malaria and any complications
  • Include relevant travel history and laboratory confirmation

Exclusion Criteria

Do NOT use B60.0 When
No specific exclusions found.

Related CPT Codes

87430CPT Code

Malaria antigen detection test

Clinical Scenario

Used for rapid diagnosis of malaria in patients presenting with fever.

Documentation Requirements

Document the reason for the test and results.

Specialty Considerations

Infectious disease specialists may require additional lab results for treatment decisions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malaria types, improving data accuracy and treatment tracking. B60.0 provides a clear distinction for Plasmodium falciparum malaria, which is essential for epidemiological studies and treatment protocols.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malaria types, improving data accuracy and treatment tracking. B60.0 provides a clear distinction for Plasmodium falciparum malaria, which is essential for epidemiological studies and treatment protocols.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malaria types, improving data accuracy and treatment tracking. B60.0 provides a clear distinction for Plasmodium falciparum malaria, which is essential for epidemiological studies and treatment protocols.

Resources

Clinical References

  • •
    CDC Malaria Information

Coding & Billing References

  • •
    CDC Malaria Information

Frequently Asked Questions

What are the common symptoms of Plasmodium falciparum malaria?

Common symptoms include fever, chills, headache, muscle aches, and fatigue. Severe cases can lead to complications such as cerebral malaria and anemia.

How is Plasmodium falciparum malaria diagnosed?

Diagnosis is typically made through blood smears or rapid diagnostic tests that detect malaria antigens.

What is the first-line treatment for Plasmodium falciparum malaria?

The first-line treatment is artemisinin-based combination therapy (ACT), which is effective against this severe form of malaria.