2026 ICD-10-CM Diagnosis Code B83.4Internal hirudiniasis
ICD-10-CM Codes›A00–B99›B65-B83›B83
- Billable — Valid for Submission
- Not Chronic
B83.4 is a billable ICD-10-CM diagnosis code for internal hirudiniasis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607. Coders also document this condition as disease caused by Annelida. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Parasitic, other specified and unspecified infections.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Disease caused by Annelida
- Internal hirudiniasis
- Leech infestation
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 2 Excludes
- external hirudiniasis B88.3
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- internal - B83.4
- Infestation - B88.9
- hirudiniasis, internal - B83.4
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Hirudiniasis
- internal
- Infestation
- helminth
- hirudiniasis, internal
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
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Convert B83.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About B83.4Overview
Is B83.4 (Other helminthiases) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report internal hirudiniasis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does B83.4 group to?
When internal hirudiniasis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, with relative weights from 0.9064 to 1.5132 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of B83.4?
Under the General Equivalence Mappings, internal hirudiniasis converts to ICD-9-CM 134.2 (hirudiniasis). The mapping is approximate, so confirm the match fits the documentation.
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.
