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ICD-10-CM 2027 diagnosis code

B66.4Paragonimiasis

✓ Billable / specificCC — complication/comorbidity

B66.4 is a valid, billable ICD-10-CM code for paragonimiasis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Paragonimiasis.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About B66.4

B66.4 is the ICD-10-CM diagnosis code for Paragonimiasis. It belongs to category B66 (other fluke infections), block B65-B83 (helminthiases) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within B66 (other fluke infections), B66.4 is specifically for Paragonimiasis. Related codes cover Opisthorchiasis (B66.0), Clonorchiasis (B66.1), Dicroceliasis (B66.2), Fascioliasis (B66.3), Fasciolopsiasis (B66.5), other specified fluke infections (B66.8) and fluke infection, unspecified (B66.9).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 177 (Respiratory Infections and Inflammations with MCC, relative weight 1.6092), DRG 178 (Respiratory Infections and Inflammations with CC, relative weight 0.9744) and DRG 179 (Respiratory Infections and Inflammations without CC/MCC, relative weight 0.7345), in MDC 04 (Diseases and Disorders of the Respiratory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 121.2 (Paragonimiasis).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Infection due to Paragonimus species
  • Lung fluke disease
  • Pulmonary distomiasis

Notes that apply from higher levels

Instructions written at a parent level also apply to B66.4.

Broader instructions also apply from Chapter 1: Certain infectious and parasitic diseases.

Alphabetic index entries

9 entries

Terms in the official ICD-10-CM index that lead to B66.4.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about B66.4

Is B66.4 billable?

Yes. B66.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can B66.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict B66.4 as a principal diagnosis.

Is B66.4 a CC or MCC?

B66.4 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does B66.4 group to?

B66.4 is used in the MS-DRG v44.0 logic for MS-DRG 177 (Respiratory Infections and Inflammations with MCC), MS-DRG 178 (Respiratory Infections and Inflammations with CC) and MS-DRG 179 (Respiratory Infections and Inflammations without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for B66.4?

The CMS General Equivalence Mappings map B66.4 to ICD-9-CM 121.2.