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ICD-10 Guide
ICD-10 CodesB67.5

B67.5

Echinococcus granulosus infection of liver

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

Code Description

ICD-10 B67.5 is a billable code used to indicate a diagnosis of echinococcus granulosus infection of liver.

Key Diagnostic Point:

Echinococcus granulosus infection of the liver, also known as hydatid disease, is a parasitic infection caused by the larval stage of the Echinococcus granulosus tapeworm. This infection primarily occurs in regions where livestock is raised, as the lifecycle of the parasite involves canines as definitive hosts and various herbivores as intermediate hosts. The infection can lead to the formation of cysts in the liver, which may vary in size and can cause symptoms such as abdominal pain, nausea, and jaundice if they compress surrounding structures or lead to complications like rupture. Diagnosis is typically made through imaging studies such as ultrasound or CT scans, which reveal cystic lesions in the liver. Treatment often involves surgical intervention to remove the cysts, along with antiparasitic medications such as albendazole or mebendazole to prevent recurrence. The management of this infection requires a multidisciplinary approach, including infectious disease specialists, surgeons, and radiologists, to ensure effective treatment and monitoring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cystic and non-cystic liver lesions.
  • Understanding the lifecycle of Echinococcus granulosus for accurate coding.
  • Variability in clinical presentation and symptomatology.
  • Need for imaging studies to confirm diagnosis.

Audit Risk Factors

  • Inadequate documentation of imaging results.
  • Failure to document the presence of symptoms.
  • Misclassification of cyst types (e.g., simple vs. complicated).
  • Lack of clarity on treatment plans and follow-up.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, symptomatology, and diagnostic imaging results.

Common Clinical Scenarios

Patients presenting with abdominal pain and imaging findings suggestive of hydatid cysts.

Billing Considerations

Documentation must clearly indicate the relationship between symptoms and imaging findings to support the diagnosis.

Surgery

Documentation Requirements

Operative reports detailing the surgical approach and findings during cyst removal.

Common Clinical Scenarios

Patients undergoing laparoscopic or open surgery for hydatid cyst excision.

Billing Considerations

Surgeons should document the size, location, and characteristics of cysts to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use B67.5 When
  • According to ICD
  • 10 coding guidelines, B67
  • 5 should be used when there is confirmed Echinococcus granulosus infection of the liver, supported by imaging studies
  • It is important to document any associated symptoms and treatment plans

Exclusion Criteria

Do NOT use B67.5 When
  • Exclusion criteria include other types of echinococcosis not affecting the liver

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when a patient with hydatid cysts also has gallbladder disease.

Documentation Requirements

Operative report detailing findings and procedures performed.

Specialty Considerations

Surgeons should document any findings related to the hydatid cysts during the procedure.

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 data collection and reimbursement processes. B67.5 provides a clear distinction for Echinococcus granulosus infections, which aids in epidemiological tracking and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of data collection and reimbursement processes. B67.5 provides a clear distinction for Echinococcus granulosus infections, which aids in epidemiological tracking and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. B67.5 provides a clear distinction for Echinococcus granulosus infections, which aids in epidemiological tracking and treatment planning.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of Echinococcus granulosus infection?

Common symptoms include abdominal pain, nausea, vomiting, and jaundice, particularly if the cysts compress surrounding structures or rupture.