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Compare/B50 vs B53.0

B50 vs B53.0

B50 (Plasmodium falciparum malaria) compared with B53.0 (Plasmodium ovale malaria), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. B53.0 carries an Excludes1 note covering B50: “Plasmodium ovale with Plasmodium falciparum (B50.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

B50Plasmodium falciparum malariaB53.0Plasmodium ovale malaria
Billing statusNon-billable header

Report instead: B50.0, B50.8, B50.9

Billable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)
DefinitionPlasmodium falciparum malaria is a non-billable ICD-10-CM category code (B50).Plasmodium ovale malaria is a billable ICD-10-CM diagnosis code (B53.0).
Includes
mixed infections of Plasmodium falciparum with any other Plasmodium species

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources