2026 ICD-10-CM Diagnosis Code B66.4Paragonimiasis

ICD-10-CM Codes›A00–B99›B65-B83›B66

ICD-10-CM B66.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

B66.4 is a billable ICD-10-CM diagnosis code for paragonimiasis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 177 through 179. Coders also document this condition as extrapulmonary paragonimiasis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Parasitic, other specified and unspecified infections.

Code Identity

ICD-10-CM Code
B66.4
Billable Status
Yes — Valid for Submission
Code Describes
Paragonimiasis
Short Description
Paragonimiasis
Same as the full description in the CMS dataset.
Parent Code
B66
Other fluke infections

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionB65-B83Helminthiases
CategoryB66Other fluke infections
This CodeB66.4Paragonimiasis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Extrapulmonary paragonimiasis
  • Generalized paragonimiasis
  • Infection by Paragonimus
  • Infection by Paragonimus kellicotti
  • Infection caused by Paragonimus westermani
  • Paragonimus granuloma
  • Paragonimus larva migrans
  • Visceral larva migrans syndrome

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Infection due to Paragonimus species
  • Lung fluke disease
  • Pulmonary distomiasis

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.

    • Disease, diseased
      • lung
        • fluke
    • Disease, diseased
      • lung
        • fluke
          • oriental
    • Disease, diseased
      • Oriental lung fluke
    • Distomiasis
      • lung
    • Distomiasis
      • pulmonary
    • Infection, infected, infective(opportunistic)
      • Paragonimus (westermani)
    • Infestation
      • fluke
        • lung (oriental)
    • Infestation
      • Paragonimus (westermani)
    • Paragonimiasis

Clinical ClassificationClinical

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

CCSR INF009
Parasitic, other specified and unspecified infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Paragonimiasis

    infection with trematoda of the genus paragonimus.

  • Paragonimiasis

    a parasitic infection caused by trematodes of the paragonimus genus. humans are infected from ingestion of raw or undercooked food. it results in chronic lung infection and eosinophilia.

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 B66.4 to ICD-9-CMHistory

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

ICD-9-CM
121.2 Paragonimiasis
Exact Match The mapping is direct, with no qualifiers.

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 B66.4Overview

Is B66.4 (Other fluke infections) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report paragonimiasis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does B66.4 group to?

When paragonimiasis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 177, 178, 179, with relative weights from 0.7550 to 1.5627 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of B66.4?

Under the General Equivalence Mappings, paragonimiasis converts to ICD-9-CM 121.2 (paragonimiasis). The mapping is a direct match.

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.