B81.4Mixed intestinal helminthiases

B81.4 is the ICD-10-CM diagnosis code for mixed intestinal helminthiases. It belongs to category B81 (other intestinal helminthiases, not elsewhere classified), 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 B81 (other intestinal helminthiases, not elsewhere classified), B81.4 is specifically for mixed intestinal helminthiases. Related codes cover Anisakiasis (B81.0), intestinal capillariasis (B81.1), Trichostrongyliasis (B81.2), intestinal angiostrongyliasis (B81.3) and other specified intestinal helminthiases (B81.8).

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 867 (Other Infectious and Parasitic Diseases Diagnoses with MCC, relative weight 2.1859), DRG 868 (Other Infectious and Parasitic Diseases Diagnoses with CC, relative weight 1.0235) and DRG 869 (Other Infectious and Parasitic Diseases Diagnoses without CC/MCC, relative weight 0.6787), in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites), 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 127.8 (mixed intestinal helminthiasis).