B86Billable, valid for claims from October 1, 2026

Scabies

In Pediculosis, acariasis and other infestations (B85-B89), chapter 1: Certain Infectious and Parasitic Diseases

  • B86 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under B85-B89 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: Acariasis, scabies; Infection, scabies; Infestation, Acariasis, sarcoptes scabiei; Infestation, mites, scabic; Infestation, Sarcoptes scabiei; Infestation, scabies; Itch, meaning scabies; Itch, Norwegian; Itch, sarcoptic; Itch, scabies; Norwegian itch; Scabies

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Instructional notes

Includes: conditions that are coded here

  • Sarcoptic itch

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)

Other codes under B85-B89

Pediculosis, acariasis and other infestations (B85-B89)

B86 MS-DRGs

As the principal diagnosis, B86 groups to MS-DRG 606 or 607 (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.

B86 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 B86

Notes on these codes point to B86.

  • B88.0 Excludes2: scabies (B86)

About the condition

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

Scabies

Scabies is an itchy skin condition caused by the microscopic mite Sarcoptes scabei. It is common all over the world, and can affect anyone. Scabies spreads quickly in crowded conditions where there is frequent skin-to-skin contact between people. Hospitals, child-care centers, and nursing homes are examples. Scabies can easily infect sex partners and other household members. Sharing clothes, towels, and bedding can sometimes spread scabies. This can happen much more easily when the infested person has crusted scabies. You cannot get scabies from a pet. Pets get a different mite infection called mange.

Read more about scabies 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).

  • 133.0 Scabies
ICD-9 to ICD-10 converter