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ICD-10 Guide
ICD-10 CodesB81

B81

B81: Plasmodium falciparum malaria

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

Code Description

ICD-10 B81 is a used to indicate a diagnosis of b81: plasmodium falciparum malaria.

Key Diagnostic Point:

ICD-10 code B81 refers to intestinal helminthiasis, unspecified. This category encompasses a range of parasitic infections caused by helminths, which are large, multicellular organisms that can inhabit the intestines and other tissues of humans. The most common types of helminths include roundworms, tapeworms, and flukes. These infections can lead to various gastrointestinal symptoms, malnutrition, and complications if left untreated. The clinical significance of B81 lies in its ability to capture cases where the specific type of helminth infection is not identified, allowing for appropriate treatment and management of the patient’s condition based on symptoms and clinical findings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of helminth infections
  • Need for differential diagnosis
  • Potential for co-infections

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Misdiagnosis leading to incorrect coding
  • Inadequate follow-up on treatment outcomes

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

6 codes
B81.0
B81.0 Acute amoebic dysentery
B81.1
B81.1 Visceral larva migrans
B81.2
Babesiosis
B81.3
Loiasis
B81.4
Loiasis
B81.8
Other specified intestinal helminthiases

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the B81 code category is significant, particularly in regions where helminth infections are prevalent. Accurate coding can influence quality measures related to infectious disease management and patient outcomes. Additionally, understanding the population health implications of helminthiasis can guide public health initiatives aimed at prevention and treatment. As healthcare trends evolve, the focus on infectious diseases and their management will continue to shape coding practices and reimbursement strategies.

ICD-9 vs ICD-10

The clinical and administrative impact of the B81 code category is significant, particularly in regions where helminth infections are prevalent. Accurate coding can influence quality measures related to infectious disease management and patient outcomes. Additionally, understanding the population health implications of helminthiasis can guide public health initiatives aimed at prevention and treatment. As healthcare trends evolve, the focus on infectious diseases and their management will continue to shape coding practices and reimbursement strategies.

Reimbursement & Billing Impact

reimbursement strategies.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for B81

Coding & Billing References

  • •
    Official ICD-10 Guidelines for B81

Frequently Asked Questions

What conditions are included in B81?

B81 includes unspecified intestinal helminth infections, which may involve various types of parasitic worms affecting the gastrointestinal tract.

When should I use B81 codes?

B81 should be used when a patient presents with symptoms of intestinal helminthiasis, but the specific type of helminth has not been identified through diagnostic testing.

What documentation is required for B81?

Documentation should include clinical findings, symptoms experienced by the patient, any diagnostic tests performed, and the rationale for using the unspecified code.