2025 ICD-10-CM Diagnosis Code B54

Unspecified malaria

ICD-10-CM Code:
B54
ICD-10 Code for:
Unspecified malaria
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

B54 is a billable diagnosis code used to specify a medical diagnosis of unspecified malaria. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

Unspecified diagnosis codes like B54 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Code Classification

  • Certain infectious and parasitic diseases
    A00–B99
    • Protozoal diseases
      B50-B64
      • Unspecified malaria
        B54

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Airport malaria
  • Asymptomatic human immunodeficiency virus infection
  • Autoimmune reaction following infectious disease
  • Clinical infection
  • Clinical malaria
  • Complicated malaria
  • Disease caused by Plasmodiidae
  • Hemolytic anemia due to infection
  • Hemolytic anemia due to malaria
  • Human immunodeficiency virus World Health Organization 2007 stage 1 co-occurrent with malaria
  • Human immunodeficiency virus World Health Organization 2007 stage 2 co-occurrent with malaria
  • Human immunodeficiency virus World Health Organization 2007 stage 3 co-occurrent with malaria
  • Human immunodeficiency virus World Health Organization 2007 stage 4 co-occurrent with malaria
  • Hyperreactive malarial splenomegaly syndrome
  • Induced malaria
  • Intermittent fever
  • Lymphoid system finding
  • Malaria
  • Malaria in mother complicating childbirth
  • Malarial fever
  • Malarial hepatitis
  • Maternal malaria during pregnancy, childbirth and the puerperium
  • Maternal malaria during pregnancy, childbirth and the puerperium
  • Mixed malaria
  • Myelitis caused by Plasmodium
  • Nephrotic syndrome in malaria
  • Parasitic disease in mother complicating pregnancy, childbirth AND/OR puerperium
  • Parasitic disease in mother complicating pregnancy, childbirth AND/OR puerperium
  • Parasitic infection causing myelitis
  • Protozoal disease complicating pregnancy childbirth and the puerperium
  • Protozoal disease complicating pregnancy childbirth and the puerperium
  • Protozoal myelitis
  • Therapeutically induced malaria
  • World Health Organization 2007 Human immunodeficiency virus infection clinical stage 1
  • World Health Organization 2007 Human immunodeficiency virus infection clinical stage 2
  • World Health Organization 2007 Human immunodeficiency virus infection clinical stage 3
  • World Health Organization 2007 Human immunodeficiency virus infection clinical stage 4

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Parasitic, other specified and unspecified infections

CCSR Code: INF009

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Blackwater Fever

    a complication of malaria, falciparum characterized by the passage of dark red to black urine.
  • Malaria

    a protozoan disease caused in humans by four species of the plasmodium genus: plasmodium falciparum; plasmodium vivax; plasmodium ovale; and plasmodium malariae; and transmitted by the bite of an infected female mosquito of the genus anopheles. malaria is endemic in parts of asia, africa, central and south america, oceania, and certain caribbean islands. it is characterized by extreme exhaustion associated with paroxysms of high fever; sweating; shaking chills; and anemia. malaria in animals is caused by other species of plasmodia.
  • Malaria Vaccines

    vaccines made from antigens arising from any of the four strains of plasmodium which cause malaria in humans, or from p. berghei which causes malaria in rodents.
  • Malaria, Avian

    any of a group of infections of fowl caused by protozoa of the genera plasmodium, leucocytozoon, and haemoproteus. the life cycles of these parasites and the disease produced bears strong resemblance to those observed in human malaria.
  • Malaria, Cerebral

    a condition characterized by somnolence or coma in the presence of an acute infection with plasmodium falciparum (and rarely other plasmodium species). initial clinical manifestations include headaches; seizures; and alterations of mentation followed by a rapid progression to coma. pathologic features include cerebral capillaries filled with parasitized erythrocytes and multiple small foci of cortical and subcortical necrosis. (from adams et al., principles of neurology, 6th ed, p136)
  • Malaria, Falciparum

    malaria caused by plasmodium falciparum. this is the severest form of malaria and is associated with the highest levels of parasites in the blood. this disease is characterized by irregularly recurring febrile paroxysms that in extreme cases occur with acute cerebral, renal, or gastrointestinal manifestations.
  • Malaria, Vivax

    malaria caused by plasmodium vivax. this form of malaria is less severe than malaria, falciparum, but there is a higher probability for relapses to occur. febrile paroxysms often occur every other day.
  • Plasmodium

    a genus of protozoa that comprise the malaria parasites of mammals. four species infect humans (although occasional infections with primate malarias may occur). these are plasmodium falciparum; plasmodium malariae; plasmodium ovale, and plasmodium vivax. species causing infection in vertebrates other than man include: plasmodium berghei; plasmodium chabaudi; p. vinckei, and plasmodium yoelii in rodents; p. brasilianum, plasmodium cynomolgi; and plasmodium knowlesi in monkeys; and plasmodium gallinaceum in chickens.
  • Plasmodium falciparum

    a species of protozoa that is the causal agent of falciparum malaria (malaria, falciparum). it is most prevalent in the tropics and subtropics.
  • Antimalarial Agent|Anti-Malarial Agent|Anti-Malarial Drug|Antimalarial Drugs|Antimalarials

    agents used to treat malaria, and are usually classified based on action against plasmodia at different stages in their life cycle in the human.
  • Blackwater Fever|Malarial Hemoglobinuria

    a complication of malaria resulting from hemolysis.
  • CDISC Malaria Therapeutic Area User Guide Version 1.0|Malaria Therapeutic Area User Guide v1.0

    the 1.0 version of the cdisc malaria therapeutic area user guide.
  • CDISC SDTM Malaria Findings About Test Code Terminology|MRFATSCD|Malaria Findings About Test Code|SDTM-MRFATSCD

    terminology associated with the malaria findings about test code codelist of the clinical data interchange standards consortium (cdisc) study data tabulation model (sdtm).
  • CDISC SDTM Malaria Findings About Test Name Terminology|MRFATS|Malaria Findings About Test Name|SDTM-MRFATS

    terminology associated with the malaria findings about test name codelist of the clinical data interchange standards consortium (cdisc) study data tabulation model (sdtm).
  • Cerebral Malaria

    a sequestration of plasmodium falciparum in the brain, which can cause coma and/or seizures.
  • Falciparum Malaria

    malaria resulting from infection by plasmodium falciparum.
  • Malaria

    a protozoan infection caused by the genus plasmodium. there are four species of plasmodium that can infect humans: plasmodium falciparum, vivax, ovale, and malariae. it is transmitted to humans by infected mosquitoes. signs and symptoms include paroxysmal high fever, sweating, chills, and anemia.
  • Nephrotic Syndrome - Malaria Associated|Malaria Associated Nephrotic Syndrome

    nephrotic syndrome associated with malaria.
  • Plasmodium malariae|PLASMODIUM MALARIAE

    a protozoan parasite in the family plasmodiidae. p. malariae causes quartan malaria, a milder form of malaria than that caused by p. falciparum or p. vivax.
  • Plasmodium Measurement|Malaria|PLSMDM|Plasmodium|Plasmodium

    the determination of the amount of plasmodium present in a sample.
  • Quartan Malaria

    malaria resulting from infection by plasmodium malariae.
  • Severe Malaria|Complicated Malaria

    acute malaria with signs of organ dysfunction, severe anemia (hemoglobin less than 5 g/dl or hematocrit less than 15%) and/or hyperparasitemia (greater than 5% of red blood cells infected).
  • Vivax Malaria

    malaria resulting from infection by plasmodium vivax.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert B54 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Malaria NOS

ICD-9-CM: 084.6

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

Patient Education


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. There are four different types of malaria caused by four related parasites. The most deadly type occurs in Africa south of the Sahara Desert.

Malaria symptoms include chills, flu-like symptoms, fever, vomiting, diarrhea, and jaundice. A blood test can diagnose it. It can be life-threatening. However, you can treat malaria with drugs. The type of drug depends on which kind of malaria you have and where you were infected.

Malaria can be prevented. When traveling to areas where malaria is found:

  • See your doctor for medicines that protect you
  • Wear insect repellent with DEET
  • Cover up
  • Sleep under mosquito netting

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.