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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.1

B67.1

Echinococcus multilocularis infection

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

Code Description

ICD-10 B67.1 is a billable code used to indicate a diagnosis of echinococcus multilocularis infection.

Key Diagnostic Point:

Echinococcus multilocularis infection is a parasitic disease caused by the larval stage of the Echinococcus multilocularis tapeworm. This helminthic infection primarily affects the liver, leading to the formation of cyst-like lesions that can mimic malignancy. The infection is endemic in certain regions, particularly in the Northern Hemisphere, where it is transmitted through contact with infected canids, such as foxes and domestic dogs, or through ingestion of contaminated food or water. Symptoms may include abdominal pain, jaundice, and weight loss, but many patients remain asymptomatic for years. Diagnosis is typically made through imaging studies, such as ultrasound or CT scans, and serological tests. Treatment often involves surgical intervention to remove cysts, along with antiparasitic medications such as albendazole or mebendazole to prevent recurrence. Early detection and treatment are crucial to prevent severe complications, including liver failure or metastasis to other organs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptomatology.
  • Need for accurate diagnostic imaging interpretation.
  • Differentiation from other hepatic lesions, including tumors.
  • Potential for co-infection with other parasitic diseases.

Audit Risk Factors

  • Inadequate documentation of exposure history.
  • Failure to document imaging findings.
  • Lack of clarity in treatment plans.
  • Misclassification of the infection type.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure risk assessment, and diagnostic imaging results.

Common Clinical Scenarios

Patients presenting with abdominal pain and jaundice, 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 and any complications encountered.

Common Clinical Scenarios

Surgical intervention for large cysts or complications such as abscess formation.

Billing Considerations

Documentation of pre-operative imaging and post-operative follow-up.

Coding Guidelines

Inclusion Criteria

Use B67.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the infection type and any associated complications
  • Include relevant patient history and diagnostic findings to support the code assignment

Exclusion Criteria

Do NOT use B67.1 When
No specific exclusions found.

Related CPT Codes

47563CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when surgical intervention is required for cyst removal.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Surgeons must document the rationale for surgery 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 parasitic infections, improving the accuracy of epidemiological data and treatment tracking for Echinococcus infections.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of epidemiological data and treatment tracking for Echinococcus infections.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of epidemiological data and treatment tracking for Echinococcus infections.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of Echinococcus multilocularis infection?

Common symptoms include abdominal pain, jaundice, weight loss, and in some cases, asymptomatic presentations. Symptoms may develop slowly over years.