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ICD-10 Guide
ICD-10 CodesB67.0

B67.0

Echinococcosis due to Echinococcus granulosus

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

Code Description

ICD-10 B67.0 is a billable code used to indicate a diagnosis of echinococcosis due to echinococcus granulosus.

Key Diagnostic Point:

Echinococcosis, specifically caused by Echinococcus granulosus, is a parasitic infection characterized by the formation of cysts in various organs, primarily the liver and lungs. This helminthic infection is transmitted through the ingestion of eggs shed in the feces of infected canines, particularly dogs. The larvae hatch in the intestines and migrate to various tissues, where they develop into hydatid cysts. Symptoms may vary based on the cyst's location and size, ranging from asymptomatic cases to severe complications such as cyst rupture, which can lead to anaphylactic shock or secondary infections. Diagnosis typically involves imaging studies such as ultrasound or CT scans, serological tests, and sometimes histological examination. Treatment options include surgical removal of cysts, percutaneous aspiration, and antiparasitic medications such as albendazole or mebendazole. Early diagnosis and intervention are crucial to prevent complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations depending on cyst location.
  • Need for imaging studies for accurate diagnosis.
  • Potential for severe complications requiring urgent care.
  • Differentiation from other parasitic infections.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to document imaging results.
  • Misclassification of the type of echinococcosis.
  • Lack of clarity on treatment plans.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including travel and exposure history, clinical findings, and imaging results.

Common Clinical Scenarios

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

Billing Considerations

Consideration of co-infections and the need for multidisciplinary management.

Surgery

Documentation Requirements

Operative reports detailing cyst removal, imaging studies, and pathology results.

Common Clinical Scenarios

Patients requiring surgical intervention for large or symptomatic cysts.

Billing Considerations

Documentation of surgical approach and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use B67.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any complications
  • Include relevant clinical details to support the diagnosis and treatment plan

Exclusion Criteria

Do NOT use B67.0 When
No specific exclusions found.

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Performed for symptomatic hydatid cysts in the liver.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Surgeons should document the cyst's characteristics and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of echinococcosis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of echinococcosis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of echinococcosis?

Common symptoms include abdominal pain, nausea, vomiting, jaundice, and respiratory distress, depending on the cyst's location.

How is echinococcosis diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with serological tests to detect specific antibodies.

What treatments are available for echinococcosis?

Treatment options include surgical removal of cysts, percutaneous aspiration, and antiparasitic medications like albendazole.