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ICD-10 Guide
ICD-10 CodesB60.02

B60.02

Babesiosis due to Babesia duncani

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B60.02 is a billable code used to indicate a diagnosis of babesiosis due to babesia duncani.

Key Diagnostic Point:

Babesiosis is a protozoal infection caused by the Babesia species, with Babesia duncani being one of the notable strains affecting humans. This disease is primarily transmitted through the bite of infected Ixodes ticks, commonly known as deer ticks. The clinical presentation of babesiosis can range from asymptomatic to severe illness, particularly in individuals with compromised immune systems or those who are splenectomized. Symptoms typically include fever, chills, sweats, headache, myalgia, and fatigue. Laboratory findings may reveal hemolytic anemia, thrombocytopenia, and elevated liver enzymes. Diagnosis is confirmed through serological tests or microscopic examination of blood smears. Treatment usually involves the use of antimalarial medications such as atovaquone combined with azithromycin or clindamycin combined with quinine. Prompt diagnosis and treatment are crucial to prevent complications such as respiratory failure or renal failure, especially in high-risk populations. Babesiosis is considered a tropical disease, although it is increasingly recognized in temperate regions, particularly in the northeastern and upper midwestern United States.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations ranging from mild to severe.
  • Potential for co-infection with Lyme disease or other tick-borne illnesses.
  • Need for specific laboratory confirmation for accurate diagnosis.
  • Variability in treatment protocols based on patient health status.

Audit Risk Factors

  • Inadequate documentation of tick exposure or travel history.
  • Failure to document laboratory confirmation of diagnosis.
  • Misclassification of symptoms as unrelated conditions.
  • Inconsistent coding of co-infections with Lyme disease.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including travel and exposure history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever and hemolytic anemia after tick exposure.

Billing Considerations

Ensure accurate documentation of co-infections and laboratory findings.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom documentation, including any tick bites.

Common Clinical Scenarios

Patients with flu-like symptoms following outdoor activities in endemic areas.

Billing Considerations

Awareness of local endemic areas and potential for misdiagnosis.

Coding Guidelines

Inclusion Criteria

Use B60.02 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the diagnosis and any related conditions
  • Include specific details about the patient's clinical presentation and laboratory findings

Exclusion Criteria

Do NOT use B60.02 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

Babesia duncani testing

Clinical Scenario

Used when testing for Babesia in patients with suspected babesiosis.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of patient history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving the accuracy of data collection and epidemiological tracking of this disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving the accuracy of data collection and epidemiological tracking of this disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving the accuracy of data collection and epidemiological tracking of this disease.

Resources

Clinical References

  • •
    CDC Babesiosis Information

Coding & Billing References

  • •
    CDC Babesiosis Information

Frequently Asked Questions

What are the common symptoms of babesiosis?

Common symptoms include fever, chills, sweats, headache, myalgia, and fatigue. Severe cases may lead to hemolytic anemia and complications.