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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.4

B67.4

Echinococcosis, unspecified

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

Code Description

ICD-10 B67.4 is a billable code used to indicate a diagnosis of echinococcosis, unspecified.

Key Diagnostic Point:

Echinococcosis is a parasitic infection caused by tapeworms of 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. The disease can lead to the formation of cysts in various organs, most commonly the liver and lungs, which can cause significant morbidity. Symptoms may vary widely depending on the location and size of the cysts, ranging from asymptomatic to severe complications such as cyst rupture, anaphylaxis, or secondary bacterial infections. 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 antiparasitic medications such as albendazole or mebendazole may be used as adjunct therapy to prevent recurrence. The unspecified nature of this code indicates that the specific type of echinococcosis has not been determined, necessitating further clinical evaluation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations and complications
  • Need for differential diagnosis with other cystic lesions
  • Potential for co-infections or secondary complications
  • Variability in treatment approaches based on cyst location

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the organ affected
  • Lack of imaging or lab results to support diagnosis
  • Misclassification of echinococcosis type

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

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

Billing Considerations

Consideration of travel history and exposure to endemic areas is crucial for accurate diagnosis.

Surgery

Documentation Requirements

Operative reports detailing cyst removal and any complications encountered during surgery.

Common Clinical Scenarios

Patients requiring surgical intervention for large cysts or complications such as rupture.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use B67.4 When
  • According to ICD
  • 10 guidelines, B67
  • 4 is used when the specific type of echinococcosis is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use B67.4 When
No specific exclusions found.

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when a patient with echinococcosis requires gallbladder removal due to cysts.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Surgeons must document the reason for surgery related to echinococcosis.

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.

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.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    CDC Echinococcosis Information

Coding & Billing References

  • •
    CDC Echinococcosis Information

Frequently Asked Questions

What is the primary cause of echinococcosis?

Echinococcosis is primarily caused by ingesting eggs of Echinococcus species, often through contaminated food or water.

How is echinococcosis diagnosed?

Diagnosis is typically made through imaging studies such as ultrasound or CT scans, along with serological tests.

What are the treatment options for echinococcosis?

Treatment may involve surgical removal of cysts and the use of antiparasitic medications like albendazole.