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v1.0.0
ICD-10 Guide
ICD-10 CodesA06.4

A06.4

Amebic liver abscess

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/04/2025

Code Description

ICD-10 A06.4 is a billable code used to indicate a diagnosis of amebic liver abscess.

Key Diagnostic Point:

Amebic liver abscess is a localized collection of pus in the liver caused by the parasite Entamoeba histolytica, often resulting from intestinal amebiasis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of comorbid conditions
  • Severity of symptoms

Audit Risk Factors

    Specialty Focus

    Medical Specialties

    Infectious Disease

    Documentation Requirements

    Detailed clinical history, imaging results, and laboratory findings.

    Common Clinical Scenarios

    Patients presenting with fever, abdominal pain, and jaundice.

    Billing Considerations

    Consider travel history and potential exposure to contaminated water.

    Coding Guidelines

    Inclusion Criteria

    Use A06.4 When
    • Ensure accurate documentation of the diagnosis, including any related complications or co
    • morbidities

    Exclusion Criteria

    Do NOT use A06.4 When
    No specific exclusions found.

    Related CPT Codes

    49000CPT Code

    Abdominal paracentesis

    Clinical Scenario

    To drain fluid from the abdomen in suspected cases of liver abscess.

    Documentation Requirements

    Indication for procedure, consent, and post-procedure monitoring.

    Specialty Considerations

    Infectious disease specialists may need to be involved for management.

    ICD-10 Impact

    Diagnostic & Documentation Impact

    Enhanced Specificity

    ICD-10 Improvements

    Accurate coding impacts treatment plans and reimbursement, highlighting the need for precise documentation.

    ICD-9 vs ICD-10

    Accurate coding impacts treatment plans and reimbursement, highlighting the need for precise documentation.

    Reimbursement & Billing Impact

    reimbursement, highlighting the need for precise documentation.

    Resources

    Clinical References

    • •
      CDC - Amebiasis

    Coding & Billing References

    • •
      CDC - Amebiasis

    Frequently Asked Questions

    What are the common symptoms of amebic liver abscess?

    Common symptoms include fever, abdominal pain, and jaundice.

    How is amebic liver abscess diagnosed?

    Diagnosis is typically made through imaging studies such as ultrasound or CT scan, along with serological tests.