B64Billable, valid for claims from October 1, 2026

Unspecified protozoal disease

In Protozoal diseases (B50-B64), chapter 1: Certain Infectious and Parasitic Diseases

  • B64 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 not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • 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).

Also indexed as: Disease, protozoal; Infection, protozoal NEC; Infestation, protozoal NEC; Protozoal, disease

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Instructional notes

Also applies, from Protozoal diseases (B50-B64)

These notes sit on B50-B64 and apply to every code under it, including B64.

Excludes1: not coded here, use a different code

  • amebiasis (A06.-)
  • other protozoal intestinal diseases (A07.-)

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.

Read Section I.C.1 (page 19)

B64 MS-DRGs

As the principal diagnosis, B64 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.

B64 is in Parasitic, other specified and unspecified infections (INF009, its default category), with 254 codes. Others in it:

  • A06.0 Acute amebic dysentery
  • A06.1 Chronic intestinal amebiasis
  • A06.2 Amebic nondysenteric colitis
  • A06.3 Ameboma of intestine
  • A06.4 Amebic liver abscess
  • A06.5 Amebic lung abscess
  • A06.6 Amebic brain abscess
  • A06.7 Cutaneous amebiasis

Other codes that refer to B64

Notes on these codes point to B64.

  • O98.6 Includes: Conditions in B50-B64

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Parasitic Diseases

Parasites are living things that use other living things - like your body - for food and a place to live. You can get them from contaminated food or water, a bug bite, or sexual contact. Some parasitic diseases are easily treated and some are not.

Read more about parasitic diseases on MedlinePlus

Code 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).

  • 088.9 Arthropod-borne disease, unspecified (approximate)
  • 136.9 Unspecified infectious and parasitic diseases (approximate)
ICD-9 to ICD-10 converter