B83.4

Internal hirudiniasis

FY2027Chapter 1: Certain infectious and parasitic diseases/B65–B83 Helminthiases

BillableComplete code, valid to report

B83.4 (also written B834) is a billable ICD-10-CM diagnosis code for internal hirudiniasis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 7 codes in category B83 (Other helminthiases). The Alphabetic Index lists it under 2 entries. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 7 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • code to identify resistance to antimicrobial drugs (Z16.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from B83 Other helminthiases
  • capillariasis NOS (B81.1)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • external hirudiniasis (B88.3)
Inherited from B83 Other helminthiases
  • intestinal capillariasis (B81.1)
Also from chapter/block level (5 notes)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • 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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (1 note)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • diseases generally recognized as communicable or transmissible

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries