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v1.0.0
ICD-10 Guide
ICD-10 CodesB60.09

B60.09

Other babesiosis

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

Code Description

ICD-10 B60.09 is a billable code used to indicate a diagnosis of other babesiosis.

Key Diagnostic Point:

Babesiosis is a malaria-like parasitic disease caused by protozoa of the genus Babesia, primarily transmitted through the bite of infected Ixodes ticks. The condition is characterized by symptoms such as fever, chills, sweats, headache, and myalgia, which can range from mild to severe. In some cases, it can lead to complications such as hemolytic anemia, thrombocytopenia, and multi-organ failure, particularly in immunocompromised individuals or those without a spleen. Diagnosis is typically confirmed through blood smear microscopy or serological tests detecting Babesia antibodies. Treatment usually involves the use of antimalarial medications such as atovaquone combined with azithromycin or clindamycin combined with quinine. The disease is more prevalent in certain geographic regions, particularly in the northeastern and upper midwestern United States, and is considered a significant public health concern due to its potential for severe illness and the increasing incidence of reported cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations ranging from asymptomatic to severe illness.
  • Differentiation from other tick-borne diseases such as Lyme disease.
  • Need for accurate laboratory confirmation for diagnosis.
  • Potential for co-infection with other pathogens, complicating clinical picture.

Audit Risk Factors

  • Inadequate documentation of laboratory results confirming diagnosis.
  • Failure to document patient history of tick exposure.
  • Misclassification of the severity of the disease.
  • Inconsistent coding of co-infections with other tick-borne diseases.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fever and recent travel to endemic areas.

Billing Considerations

Consideration of co-infections and immunocompromised status.

Primary Care

Documentation Requirements

Thorough documentation of symptoms, exposure history, and initial treatment response.

Common Clinical Scenarios

Patients with flu-like symptoms and potential tick exposure.

Billing Considerations

Early recognition and referral to specialists if severe symptoms develop.

Coding Guidelines

Inclusion Criteria

Use B60.09 When
  • According to ICD
  • 10 guidelines, B60
  • 09 should be used when the specific type of babesiosis is not classified elsewhere
  • Coders should ensure that the diagnosis is supported by laboratory findings and that the clinical documentation reflects the severity and treatment of the condition

Exclusion Criteria

Do NOT use B60.09 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

Babesia testing

Clinical Scenario

Used when testing for Babesia in patients with suspected infection.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists may require additional details on 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 ability to track and manage this disease. The granularity of the codes helps in understanding the epidemiology and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving the ability to track and manage this disease. The granularity of the codes helps in understanding the epidemiology and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving the ability to track and manage this disease. The granularity of the codes helps in understanding the epidemiology and treatment outcomes.

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, and myalgia. Severe cases may lead to hemolytic anemia and multi-organ failure.

How is babesiosis diagnosed?

Diagnosis is typically confirmed through blood smear microscopy or serological tests that detect antibodies against Babesia.

What is the treatment for babesiosis?

Treatment usually involves antimalarial medications such as atovaquone combined with azithromycin or clindamycin combined with quinine.

Is babesiosis a reportable disease?

Yes, babesiosis is considered a reportable disease in many jurisdictions due to its public health implications.