ICD-10-CM Code For Scabies: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group B86 includes diagnoses for scabies and related mite infestations, covering typical scabies, crusted scabies, and infestations with associated bacterial secondary infection or complications. These ICD-10-CM diagnosis codes are used to document clinical encounters for suspected or confirmed scabies, capture disease severity such as crusted versus classic presentations, and note associated skin involvement or secondary infection. Accurate coding within the ICD-10-CM B86 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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ICD-10-CM B86: Scabies Overview

The ICD-10-CM B86 group represents scabies infestations caused by the Sarcoptes scabiei mite, affecting the skin and causing pruritic eruptions. These diagnoses target dermatologic parasitic infestations and related complications. Accurate coding matters for proper clinical documentation and can affect reimbursement for evaluation and treatment of infestations.

When to Use

Use a code from this group when a clinical encounter documents confirmed or suspected scabies or crusted scabies. Select codes that reflect disease severity and any documented complications, such as secondary bacterial infection.

ICD-10-CM Codes

1 rows

ICD-10-CM Code	Description
B86	Scabies

DRG Codes

2 rows

DRG Code	Description
606	Minor Skin Disorders with MCC
607	Minor Skin Disorders without MCC

Typical Clinical Scenarios

An adult presents to urgent care with a several-week history of intense nocturnal pruritus and a new papulovesicular rash concentrated in the finger webs, wrists, and axillary folds after close household contact with someone recently treated for scabies. Examination shows excoriations and burrow tracks consistent with a mite infestation, prompting a diagnosis from this group to document the parasitic skin infestation and guide treatment and contact tracing. Typical codes: B86
A pediatric patient is brought to their primary care clinician for persistent generalized itching and secondary bacterial impetiginization of excoriated scabetic lesions; the child has had recurrent episodes over months despite prior topical therapy. The visit documents ongoing infestation with complications from scratching, and a code from this group is assigned to capture the underlying infestation as a cause of the skin breakdown and to coordinate further management. Typical codes: B86
An elderly nursing home resident develops a sudden outbreak of pruritic papules and linear burrows among several roommates; infection control is involved and multiple residents are evaluated. The facility visit and public health concern lead to assigning a code from this group to record the identified scabietic infestation in the outbreak investigation and resident care plan. Typical codes: B86

Related Codes

B85-PEDICULOSIS-AND-PHTHIRIASIS

ICD-10-CM Code For Pediculosis And Phthiriasis: Group Overview

B87-MYIASIS

ICD-10-CM Code For Myiasis: Group Overview

B88-OTHER-INFESTATIONS

ICD-10-CM Code For Other Infestations: Group Overview

B89-UNSPECIFIED-PARASITIC-DISEASE

ICD-10-CM Code For Unspecified Parasitic Disease: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-CM Codes

1 rows

ICD-10-CM Code	Description
B86	Scabies

DRG Codes

2 rows

DRG Code	Description
606	Minor Skin Disorders with MCC
607	Minor Skin Disorders without MCC

Typical Clinical Scenarios

An adult presents to urgent care with a several-week history of intense nocturnal pruritus and a new papulovesicular rash concentrated in the finger webs, wrists, and axillary folds after close household contact with someone recently treated for scabies. Examination shows excoriations and burrow tracks consistent with a mite infestation, prompting a diagnosis from this group to document the parasitic skin infestation and guide treatment and contact tracing. Typical codes: B86
A pediatric patient is brought to their primary care clinician for persistent generalized itching and secondary bacterial impetiginization of excoriated scabetic lesions; the child has had recurrent episodes over months despite prior topical therapy. The visit documents ongoing infestation with complications from scratching, and a code from this group is assigned to capture the underlying infestation as a cause of the skin breakdown and to coordinate further management. Typical codes: B86
An elderly nursing home resident develops a sudden outbreak of pruritic papules and linear burrows among several roommates; infection control is involved and multiple residents are evaluated. The facility visit and public health concern lead to assigning a code from this group to record the identified scabietic infestation in the outbreak investigation and resident care plan. Typical codes: B86

Related Codes

B85-PEDICULOSIS-AND-PHTHIRIASIS

ICD-10-CM Code For Pediculosis And Phthiriasis: Group Overview

B87-MYIASIS

ICD-10-CM Code For Myiasis: Group Overview

B88-OTHER-INFESTATIONS

ICD-10-CM Code For Other Infestations: Group Overview

B89-UNSPECIFIED-PARASITIC-DISEASE

ICD-10-CM Code For Unspecified Parasitic Disease: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Scabies: Group Overview

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ICD-10-CM B86: Scabies Overview

ICD-10-CM Code For Scabies: Group Overview

Sign up for ICD-10-CM Code For Scabies: Group Overview policy alerts

ICD-10-CM B86: Scabies Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-CM code group covers scabies diagnoses?

What clinical presentations does `B86` include?

How is accurate coding within `B86` important for clinical documentation?

How does `B86` affect reimbursement or claims processes?

Are there related DRGs associated with scabies diagnoses in `B86`?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-CM code group covers scabies diagnoses?

What clinical presentations does `B86` include?

How is accurate coding within `B86` important for clinical documentation?

How does `B86` affect reimbursement or claims processes?

Are there related DRGs associated with scabies diagnoses in `B86`?

References