Scabies, commonly known as sarcoptic itch, is a contagious skin condition caused by tiny mites called Sarcoptes scabiei. These microscopic creatures burrow into the skin, leading to intense itching and a pimple-like rash. For healthcare professionals and medical coding specialists, accurately documenting and classifying scabies cases is crucial for patient care, epidemiology tracking, and reimbursement. The Diagnosis Code For Scabies in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) system is B86.
ICD-10-CM code B86 is designated as a billable/specific code, meaning it provides a precise classification for scabies that can be used for medical billing and insurance claims. This code became effective on October 1, 2015, and remains current through the 2025 edition, which took effect on October 1, 2024. It’s important to note that B86 is the American ICD-10-CM version, and international versions might differ. The code B86 specifically applies to cases of “Sarcoptic itch,” further clarifying the condition being diagnosed.
US flag symbolizing the American ICD-10-CM standard for diagnosis code B86, representing scabies.
Scabies is characterized by several key symptoms. The hallmark symptom is intense itching, particularly at night. Patients may also present with pimple-like irritations, a noticeable rash, and sores resulting from scratching the itchy areas. Common locations affected by scabies include the axillae (armpits), elbows, wrists, and genitalia, although the infestation can spread across the entire body if left untreated. Scabies spreads easily through close skin-to-skin contact and can be prevalent in crowded environments such as hospitals, childcare facilities, and nursing homes. Sharing personal items like clothing, towels, and bedding can also contribute to the spread.
Accurate use of the diagnosis code for scabies, B86, is essential for several reasons. From a clinical perspective, it ensures that the diagnosis is clearly documented in the patient’s medical record, facilitating appropriate treatment and follow-up care. For healthcare facilities and providers, using the correct code is vital for accurate medical billing and reimbursement processes. Furthermore, the consistent application of ICD-10-CM codes like B86 allows for effective epidemiological surveillance, helping public health organizations track the incidence and prevalence of scabies and implement appropriate control measures. Understanding and correctly applying the diagnosis code for scabies B86 is therefore a fundamental aspect of healthcare practice and medical coding.
