B74.3 ICD-10-CM Code: Loiasis
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 3 inclusion terms · 2 Excludes2
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 867 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC (MDC 18)
- MS-DRG 868 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC (MDC 18)
- MS-DRG 869 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC (MDC 18)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B74.3 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on B74.3 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Calabar swelling
- Eyeworm disease of Africa
- Loa loa infection
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- onchocerciasis (B73) Compare B74.3 vs B73 →
- tropical (pulmonary) eosinophilia NOS (J82.89) Compare B74.3 vs J82.89 →
Source: inherited from B74
Coder workflow for B74.3
MedCoder structured workflow — derived from this code’s own official record
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes2 — not part of B74.3(2 notes)
Coding workflow: The conditions named in this note are not included in B74.3. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (15)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
- Calabar swelling
- Disease, diseased, eyeworm of Africa
- Eyeworm disease of Africa
- Infection, infected, infective (opportunistic), Loa loa
- Infection, infected, infective (opportunistic), Loa loa, eyelid
- Infection, infected, infective (opportunistic), Loa loa, with conjunctival infestation
- Infestation, eyelid, in (due to), loiasis
- Infestation, eyeworm
- Infestation, filarial, due to, loa loa
- Infestation, Loa loa
- Infestation, Loa loa, conjunctival
- Infestation, Loa loa, eyelid
- Loa loa (loiasis)
- Loiasis (with conjunctival infestation) (eyelid)
- Swelling (of), Calabar
Verify Before Coding
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name B74.3 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes1 notes across 2 chapters: I89 — Other noninfective disorders of lymphatic vessels and lymph nodes (via B74.-), R82.0 — Chyluria (via B74.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Excludes2 note: J82 — Pulmonary eosinophilia, not elsewhere classified (via B74.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 4 Code First instructions across 4 chapters: H94.0 — Acoustic neuritis in infectious and parasitic diseases classified elsewhere (via B74.-), J91.8 — Pleural effusion in other conditions classified elsewhere, K67 — Disorders of peritoneum in infectious diseases classified elsewhere (via B74.-), N51 — Disorders of male genital organs in diseases classified elsewhere.
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 13 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 867 (MDC 18), DRG 868 (MDC 18), DRG 869 (MDC 18).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INF009 — Parasitic, other specified and unspecified infections (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
B72 — Dracunculiasis, B73.00 — Onchocerciasis with eye involvement, unspecified, B73.01 — Onchocerciasis with endophthalmitis, B73.02 — Onchocerciasis with glaucoma, B73.09 — Onchocerciasis with other eye involvement, B73.1 — Onchocerciasis without eye disease, B74.0 — Filariasis due to Wuchereria bancrofti, B74.1 — Filariasis due to Brugia malayi, B74.2 — Filariasis due to Brugia timori, B74.4 — Mansonelliasis, B74.8 — Other filariases, B74.9 — Filariasis, unspecified
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Parasitic, other specified and unspecified infections).
B71.9 — Cestode infection, unspecified, B72 — Dracunculiasis, B73.00 — Onchocerciasis with eye involvement, unspecified, B73.01 — Onchocerciasis with endophthalmitis, B73.02 — Onchocerciasis with glaucoma, B73.09 — Onchocerciasis with other eye involvement, B73.1 — Onchocerciasis without eye disease, B74.0 — Filariasis due to Wuchereria bancrofti, B74.1 — Filariasis due to Brugia malayi, B74.2 — Filariasis due to Brugia timori, B74.4 — Mansonelliasis, B74.8 — Other filariases, B74.9 — Filariasis, unspecified, B75 — Trichinellosis, B76.0 — Ancylostomiasis, B76.1 — Necatoriasis, B76.8 — Other hookworm diseases, B76.9 — Hookworm disease, unspecified, B77.0 — Ascariasis with intestinal complications, B77.81 — Ascariasis pneumonia, +235 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Infestation”; these codes share that main term but sit in a different category of the Tabular List.
B68.9 — Taeniasis, unspecified (Taenia), B70.0 — Diphyllobothriasis (fish tapeworm), B70.1 — Sparganosis (Sparganum), B71.0 — Hymenolepiasis (Hymenolepis), B71.1 — Dipylidiasis (cestodes, dipylidiasis), B71.8 — Other specified cestode infections (Diplogonoporus), B71.9 — Cestode infection, unspecified (cestodes), B72 — Dracunculiasis (Medina), B73.00 — Onchocerciasis with eye involvement, unspecified (microfilaria streptocerca, eye), B73.09 — Onchocerciasis with other eye involvement (eyelid, in, onchocerciasis), B75 — Trichinellosis (Trichinella), B76.0 — Ancylostomiasis (Ancylostoma, ankylostoma), B76.1 — Necatoriasis (Necator americanus), B76.8 — Other hookworm diseases (hookworm, specified type NEC), B76.9 — Hookworm disease, unspecified (hookworm), B77.9 — Ascariasis, unspecified (roundworm NEC, Ascariasis), B79 — Trichuriasis (whipworm), B80 — Enterobiasis (pinworm), B81.0 — Anisakiasis (Anisakis larvae, anisakiasis), B81.1 — Intestinal capillariasis (Capillaria, philippinensis), +67 more
Contextual Map
Every relationship of B74.3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run B74.3 with these 7 related codes in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B65-B83 — Helminthiases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- I89 — Other noninfective disorders of lymphatic vessels and lymph nodes[Excludes1](via B74.-): “filarial chylocele (B74.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R82.0 — Chyluria[Excludes1](via B74.-): “filarial chyluria (B74.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- J82 — Pulmonary eosinophilia, not elsewhere classified[Excludes2](via B74.-): “pulmonary eosinophilia due to specified parasitic infection (B50-B83)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- H94.0 — Acoustic neuritis in infectious and parasitic diseases classified elsewhere[Code First](via B74.-): “parasitic disease (B65-B89)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J91.8 — Pleural effusion in other conditions classified elsewhere[Code First]: “filariasis (B74.0-B74.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- K67 — Disorders of peritoneum in infectious diseases classified elsewhere[Code First](via B74.-): “helminthiasis (B65.0 -B83.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- N51 — Disorders of male genital organs in diseases classified elsewhere[Code First]: “filariasis (B74.0-B74.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- INF009 — Parasitic, other specified and unspecified infections[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 867 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC[MS-DRG]: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 868 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC[MS-DRG]: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 869 — OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC[MS-DRG]: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC (MDC 18)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 18 — Infectious and Parasitic Diseases, Systemic or Unspecified Sites[MDC crossing]: “Infectious and Parasitic Diseases, Systemic or Unspecified Sites — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries (15)
- Calabar swelling[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, eyeworm of Africa[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Eyeworm disease of Africa[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Infection, infected, infective (opportunistic), Loa loa[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Infection, infected, infective (opportunistic), Loa loa, eyelid[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Infection, infected, infective (opportunistic), Loa loa, with conjunctival infestation[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Infestation, eyelid, in (due to), loiasis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Infestation, eyeworm[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- and 7 more
Nearest codes
- B74 — Filariasis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B74.0 — Filariasis due to Wuchereria bancrofti[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B74.1 — Filariasis due to Brugia malayi[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B74.2 — Filariasis due to Brugia timori[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B74.4 — Mansonelliasis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B74.8 — Other filariases[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B74.9 — Filariasis, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "B74.3 — Loiasis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/b74.3-loiasis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionLoiasis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to B74.3 in its code family, with their registry titles.