2027 ICD-10-CM Diagnosis Code B65.3Cercarial dermatitis
ICD-10-CM Codes›A00–B99›B65-B83›B65
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
B65.3 is a billable ICD-10-CM diagnosis code for cercarial dermatitis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 606 through 607. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 6 closely related codes. Coders also document this condition as cercarial dermatitis of freshwater avian type. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified inflammatory condition of skin; and Parasitic, other specified and unspecified infections.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cercarial dermatitis of freshwater avian type
- Cercarial dermatitis of freshwater mammalian type
- Cercarial dermatitis of sea water avian type
- Cutaneous fluke infection
- Cutaneous schistosomiasis
- Dermatosis caused by Coelenterata
- Infection by Trichobilharzia
- Sea bather's eruption
- Trichobilharzia cercarial dermatitis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to B65.3: its own notes plus those printed at B65 and Chapter 1. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- snail fever
- diseases generally recognized as communicable or transmissible
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Swimmer's itch
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify resistance to antimicrobial drugs (Z16.-)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name B65.3, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming B65.3: they are not reported together with it, unless the two conditions are unrelated.
Code First 11
These codes say to code first a condition named in the note, and B65.3 is one of the conditions named.
- G07 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhereschistosomiasis granuloma of brain (B65.-) names B65.-, which includes this code
- M63 Disorders of muscle in diseases classified elsewhereschistosomiasis (B65.-) names B65.-, which includes this code
- D77 Other disorders of blood and blood-forming organs in diseases classified elsewhere
- I52 Other heart disorders in diseases classified elsewhere
- J17 Pneumonia in diseases classified elsewhere
- J99 Respiratory disorders in diseases classified elsewhere
- K67 Disorders of peritoneum in infectious diseases classified elsewhere
- K77 Liver disorders in diseases classified elsewhere
- N22 Calculus of urinary tract in diseases classified elsewhere
- N29 Other disorders of kidney and ureter in diseases classified elsewhere
- N33 Bladder disorders in diseases classified elsewhere
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Bilharziasis See Also: Schistosomiasis;
cutaneous B65.3
Clam digger's itch B65.3
cercarial B65.3
schistosome B65.3
Itch, itching See Also: Pruritus;
clam digger's B65.3
swimmer's B65.3
cutaneous B65.3
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Cercarial Dermatitis
a pruritic rash that occurs as consequence of cercariae penetration of the skin after aquatic exposure to animal (usually avian) schistosomes, often in countries non-endemic to human schistosomiasis. the condition is non-invasive and responsive to symptomatic treatment.
Patient EducationClinical
Parasitic Diseases
Parasites are living things that use other living things - like your body - for food and a place to live. You can get them from contaminated food or water, a bug bite, or sexual contact. Some parasitic diseases are easily treated and some are not.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert B65.3 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About B65.3Overview
What is the ICD-10 code for cercarial dermatitis?
The ICD-10-CM code for cercarial dermatitis is B65.3 (sometimes written as B653). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is B65.3 (Schistosomiasis [bilharziasis]) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report cercarial dermatitis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does B65.3 group to?
When cercarial dermatitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 607, 606, with relative weights from 0.8772 to 1.5721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is B65.3 a CC or MCC?
CMS lists B65.3 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 6 closely related codes in its exclusion list.
What is the ICD-9 equivalent of B65.3?
Under the General Equivalence Mappings, cercarial dermatitis converts to ICD-9-CM 120.3 (cutaneous schistosoma). The mapping is a direct match.
