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v1.0.0
ICD-10 Guide
ICD-10 CodesB67

B67

Echinococcosis

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

Code Description

ICD-10 B67 is a billable code used to indicate a diagnosis of echinococcosis.

Key Diagnostic Point:

Echinococcosis is a parasitic infection caused by the larval stage of tapeworms belonging to the genus Echinococcus. The most common species affecting humans are Echinococcus granulosus and Echinococcus multilocularis. The infection typically occurs through the ingestion of eggs found in contaminated food, water, or soil, often associated with contact with infected animals, particularly dogs and livestock. Echinococcosis can manifest in two primary forms: cystic echinococcosis (CE), characterized by the formation of cysts in organs such as the liver and lungs, and alveolar echinococcosis (AE), which is more aggressive and resembles a malignant tumor, primarily affecting the liver. Symptoms may vary based on the cyst's location and size, ranging from asymptomatic to severe abdominal pain, jaundice, or respiratory distress. Diagnosis is often made through imaging studies such as ultrasound, CT, or MRI, alongside serological tests. Treatment typically involves surgical intervention to remove cysts, and in some cases, antiparasitic medications like albendazole or mebendazole may be used to manage the infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations (cystic vs. alveolar)
  • Need for imaging studies for accurate diagnosis
  • Potential for misdiagnosis with other liver or lung conditions
  • Variability in treatment approaches (surgical vs. medical)

Audit Risk Factors

  • Inconsistent documentation of symptoms and imaging results
  • Failure to specify the type of echinococcosis (cystic vs. alveolar)
  • Inadequate documentation of exposure history
  • Misclassification of the condition as a benign cyst

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure risk, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with abdominal pain, respiratory symptoms, or incidental findings on imaging.

Billing Considerations

Ensure clarity in distinguishing between cystic and alveolar forms for accurate coding.

Surgery

Documentation Requirements

Operative reports detailing cyst removal, pathology reports, and post-operative follow-up.

Common Clinical Scenarios

Surgical intervention for large cysts causing symptoms or complications.

Billing Considerations

Document the surgical approach and any complications to support coding.

Coding Guidelines

Inclusion Criteria

Use B67 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type of echinococcosis and any associated complications
  • Include relevant imaging and laboratory results to support the diagnosis

Exclusion Criteria

Do NOT use B67 When
No specific exclusions found.

Related Codes

Child Codes

17 codes
B67.0
Echinococcosis due to Echinococcus granulosus
B67.1
Echinococcus multilocularis infection
B67.2
Echinococcus multilocularis infection
B67.3
Echinococcosis, unspecified
B67.31
Echinococcus granulosus infection, thyroid gland
B67.32
Echinococcus granulosus infection, multiple sites
B67.39
Echinococcus granulosus infection, other sites
B67.4
Echinococcosis, unspecified
B67.5
Echinococcus granulosus infection of liver
B67.6
Echinococcus granulosus infection of liver
B67.61
Echinococcus multilocularis infection, multiple sites
B67.69
Echinococcus multilocularis infection, other sites
B67.7
Echinococcus granulosus infection of liver
B67.8
Other specified cestodes
B67.9
Echinococcosis, unspecified
B67.90
Echinococcosis, unspecified
B67.99
Other echinococcosis

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when cysts are located in the gallbladder or causing biliary obstruction.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Ensure clear documentation of the relationship between echinococcosis and the surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of echinococcosis, enabling better tracking of disease prevalence and treatment outcomes. The granularity of codes helps in understanding the epidemiology and management of this parasitic infection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of echinococcosis, enabling better tracking of disease prevalence and treatment outcomes. The granularity of codes helps in understanding the epidemiology and management of this parasitic infection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of echinococcosis, enabling better tracking of disease prevalence and treatment outcomes. The granularity of codes helps in understanding the epidemiology and management of this parasitic infection.

Resources

Clinical References

  • •
    CDC Echinococcosis Information

Coding & Billing References

  • •
    CDC Echinococcosis Information

Frequently Asked Questions

What are the common symptoms of echinococcosis?

Common symptoms include abdominal pain, jaundice, respiratory distress, and in some cases, asymptomatic presentations. Symptoms depend on the location and size of the cysts.