ICD-10 B52.0
Billable / Specific CCPlasmodium malariae malaria with nephropathy
About ICD-10-CM B52.0
ICD-10-CM code B52.0 represents Plasmodium malariae malaria with nephropathy. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block B52). The 2026 edition of ICD-10-CM B52.0 became effective on October 1, 2025.
Coding Tips for B52.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
B52.0 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Inpatient DRG Impact, CC
codes Plasmodium malariae malaria with nephropathy. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for B52.0
Local Coverage Determinations (LCDs) from CMS MACs that list B52.0 as a covered diagnosis.
Showing top 3. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing B52.0.
1 Cigna
1 Medicare
CPT Codes Commonly Billed with B52.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Convert B52.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| B52.0 | 0849 | 10111 |
| B52.0 | 58181 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To B52.0
Other codes in section B50-B64 (Protozoal diseases).
ICD-10 B52.0, Billing FAQ
Is ICD-10 code B52.0 billable? +
Yes, B52.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is B52.0 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with B52.0? +
Procedures frequently paired with B52.0 include: 76770, 76776, 76775.
What ICD-9 codes does B52.0 map to? +
Per CMS GEMs, B52.0 maps to ICD-9 codes: 0849, 58181. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team