Unspecified malaria
In Protozoal diseases (B50-B64), chapter 1: Certain Infectious and Parasitic Diseases
- B54 is an unspecified code: use it only when the record doesn't document anything more specific. If the record has more detail, check the other codes under B50-B64 below.
- As a secondary diagnosis it is a CC (complication or comorbidity), which can raise the MS-DRG payment. It doesn't count when the principal diagnosis is one of 32 closely related codes.
- Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
- AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
- 16 US deaths in 2024 had an underlying cause in category B54, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.
Also indexed as: Anemia, malarial; Anemia, marsh; Anemia, paludal; Chill, congestive in malarial regions; Disorder, liver, malarial; Malaria; Malaria, clinically diagnosed; Malaria, congestion, congestive; Malaria, hemorrhagic; Malaria, recurrent; Malaria, remittent; Malaria, spleen; Malaria, typhoid; Remittent fever; Splenitis, malarial; Splenomegaly, malarial
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.
- Human Immunodeficiency Virus (HIV) Infections (page 19)
- Infectious agents as the cause of diseases classified to other chapters (page 22)
- Infections resistant to antibiotics (page 22)
- Sepsis, Severe Sepsis, and Septic Shock (page 23)
- Methicillin Resistant Staphylococcus aureus (MRSA) Conditions (page 27)
- Zika virus infections (page 28)
- Coronavirus infections (page 28)
Other codes under B50-B64
Protozoal diseases (B50-B64)
- B50Plasmodium falciparum malaria
- B51Plasmodium vivax malaria
- B52Plasmodium malariae malaria
- B53Other specified malaria
- B54Unspecified malaria(this code)
- B55Leishmaniasis
- B56African trypanosomiasis
- B57Chagas' disease
- B58Toxoplasmosis
- B59Pneumocystosis
- B60Other protozoal diseases, not elsewhere classified
- B64Unspecified protozoal disease
B54 MS-DRGs
As the principal diagnosis, B54 groups to MS-DRG 867, 868, or 869 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
B54 is in Parasitic, other specified and unspecified infections (INF009, its default category), with 254 codes. Others in it:
Other codes that refer to B54
Notes on these codes point to B54.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Malaria
Malaria is a serious disease caused by a parasite. You get it when an infected mosquito bites you. Malaria is a major cause of death worldwide, but it is almost wiped out in the United States. The disease is mostly a problem in developing countries with warm climates. If you travel to these countries, you are at risk. There are four different types of malaria caused by four related parasites. The most deadly type occurs in Africa south of the Sahara Desert.
Read more about malaria on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 084.6 Malaria, unspecified
