Toxoplasmosis
In Protozoal diseases (B50-B64), chapter 1: Certain Infectious and Parasitic Diseases
11 billable codes under B58: 3 are an MCC, 8 are a CC; 2 map to HCC 6 (Opportunistic Infections).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Includes: conditions that are coded here
- infection due to Toxoplasma gondii
Excludes1: not coded here, use a different code
- congenital toxoplasmosis (P37.1)
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)
All codes under B58
B58 can't be used on a claim. Pick a billable code below; grey headings group them.
- B58.0Toxoplasma oculopathy
- B58.00Toxoplasma oculopathy, unspecified
- B58.01Toxoplasma chorioretinitis
- B58.09Other toxoplasma oculopathy
- B58.1Toxoplasma hepatitis
- B58.2Toxoplasma meningoencephalitis
- B58.3Pulmonary toxoplasmosis
- B58.8Toxoplasmosis with other organ involvement
- B58.81Toxoplasma myocarditis
- B58.82Toxoplasma myositis
- B58.83Toxoplasma tubulo-interstitial nephropathy
- B58.89Toxoplasmosis with other organ involvement
- B58.9Toxoplasmosis, unspecified
B58 MS-DRGs
As the principal diagnosis, the billable codes under B58 group to these 24 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 974 HIV with Major Related Condition with MCC (11 of 11 codes)
- DRG 975 HIV with Major Related Condition with CC (11 of 11 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (11 of 11 codes)
- DRG 791 Prematurity with Major Problems (10 of 11 codes)
- DRG 793 Full Term Neonate with Major Problems (10 of 11 codes)
- DRG 867 Other Infectious and Parasitic Diseases Diagnoses with MCC (5 of 11 codes)
- DRG 868 Other Infectious and Parasitic Diseases Diagnoses with CC (5 of 11 codes)
- DRG 869 Other Infectious and Parasitic Diseases Diagnoses without CC/MCC (5 of 11 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (2 of 11 codes)
- DRG 125 Other Disorders of the Eye without MCC (2 of 11 codes)
- DRG 023 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator (1 of 11 codes)
- DRG 024 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC (1 of 11 codes)
- DRG 097 Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC (1 of 11 codes)
- DRG 098 Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC (1 of 11 codes)
- DRG 099 Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC (1 of 11 codes)
- DRG 177 Respiratory Infections and Inflammations with MCC (1 of 11 codes)
- DRG 178 Respiratory Infections and Inflammations with CC (1 of 11 codes)
- DRG 179 Respiratory Infections and Inflammations without CC/MCC (1 of 11 codes)
- DRG 314 Other Circulatory System Diagnoses with MCC (1 of 11 codes)
- DRG 315 Other Circulatory System Diagnoses with CC (1 of 11 codes)
- DRG 316 Other Circulatory System Diagnoses without CC/MCC (1 of 11 codes)
- DRG 441 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (1 of 11 codes)
- DRG 442 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC (1 of 11 codes)
- DRG 443 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC (1 of 11 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Toxoplasmosis
Toxoplasmosis is a disease caused by the parasite Toxoplasma gondii. More than 60 million people in the U.S. have the parasite. Most of them don't get sick. But the parasite causes serious problems for some people. These include people with weak immune systems and babies whose mothers become infected for the first time during pregnancy. Problems can include damage to the brain, eyes, and other organs.
Read more about toxoplasmosis on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
