2026 ICD-10-CM Diagnosis Code B51.0Plasmodium vivax malaria with rupture of spleen

ICD-10-CM Codes›A00–B99›B50-B64›B51

ICD-10-CM B51.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

B51.0 is a billable ICD-10-CM diagnosis code for plasmodium vivax malaria with rupture of spleen. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 867 through 869. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified hematologic conditions; and Parasitic, other specified and unspecified infections.

Code Identity

ICD-10-CM Code
B51.0
Billable Status
Yes — Valid for Submission
Code Describes
Plasmodium vivax malaria with rupture of spleen
Short Description
Plasmodium vivax malaria with rupture of spleen
Same as the full description in the CMS dataset.
Parent Code
B51
Plasmodium vivax malaria

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionB50-B64Protozoal diseases
CategoryB51Plasmodium vivax malaria
This CodeB51.0Plasmodium vivax malaria with rupture of spleen

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Plasmodium vivax malaria with rupture of spleen
  • Rupture of spleen
  • Vivax malaria

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Malaria, malarial(fever)
      • vivax
        • with
          • ruptured spleen
    • Rupture, ruptured
      • spleen (traumatic)
        • due to P. vivax malaria

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR BLD010
Other specified and unspecified hematologic conditions
Default principal diagnosis: inpatient No · outpatient No
CCSR INF009
Parasitic, other specified and unspecified infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Vivax Malaria

    malaria resulting from infection by plasmodium vivax.

Patient EducationClinical

Malaria

Malaria is a serious disease caused by a parasite. You get it when an infected mosquito bites you. Malaria is a major cause of death worldwide, but it is almost wiped out in the United States. The disease is mostly a problem in developing countries with warm climates. If you travel to these countries, you are at risk.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert B51.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
084.9 Malaria complicated NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About B51.0Overview

Is B51.0 (Plasmodium vivax malaria) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report plasmodium vivax malaria with rupture of spleen on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does B51.0 group to?

When plasmodium vivax malaria with rupture of spleen is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 868, 869, with relative weights from 0.7297 to 2.0932 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of B51.0?

Under the General Equivalence Mappings, plasmodium vivax malaria with rupture of spleen converts to ICD-9-CM 084.9 (malaria complicated NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.