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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.6

B67.6

Echinococcus granulosus infection of liver

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

Code Description

ICD-10 B67.6 is a billable code used to indicate a diagnosis of echinococcus granulosus infection of liver.

Key Diagnostic Point:

Echinococcus granulosus infection of the liver is a parasitic disease caused by the larval stage of the Echinococcus granulosus tapeworm. This infection is primarily transmitted through the ingestion of eggs found in contaminated food, water, or soil, often associated with contact with infected dogs or livestock. The larvae develop into cysts in the liver, leading to hydatid disease, which can cause significant morbidity. Patients may present with abdominal pain, hepatomegaly, and jaundice, and complications can include cyst rupture, secondary bacterial infection, and anaphylactic reactions. Diagnosis is typically confirmed through imaging studies such as ultrasound or CT scans, which reveal cystic lesions in the liver. Treatment options include surgical intervention to remove the cysts and antiparasitic medications such as albendazole or mebendazole to manage the infection. Early diagnosis and treatment are crucial to prevent severe complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cystic and non-cystic liver lesions
  • Understanding the transmission routes and risk factors
  • Identifying complications associated with the infection
  • Navigating the treatment options and their indications

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the location of the infection
  • Misclassification of the type of cyst present
  • Lack of supporting imaging studies in the medical record

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, clinical symptoms, and diagnostic imaging results.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant laboratory and imaging results are included in the documentation.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients requiring surgical intervention for large or symptomatic cysts.

Billing Considerations

Document the rationale for surgery and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use B67.6 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the infection's location and any associated complications
  • Include relevant imaging studies and laboratory results to support the diagnosis

Exclusion Criteria

Do NOT use B67.6 When
No specific exclusions found.

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used in cases where cysts are causing gallbladder obstruction.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure that the reason for surgery is clearly linked to the Echinococcus infection.

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. B67.6 provides a clear distinction for Echinococcus granulosus infections, facilitating 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 parasitic infections, improving the accuracy of data collection and reimbursement processes. B67.6 provides a clear distinction for Echinococcus granulosus infections, facilitating better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. B67.6 provides a clear distinction for Echinococcus granulosus infections, facilitating 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 Echinococcus granulosus infection?

Common symptoms include abdominal pain, hepatomegaly, jaundice, and in severe cases, anaphylaxis due to cyst rupture.

How is Echinococcus granulosus infection diagnosed?

Diagnosis is typically made through imaging studies such as ultrasound or CT scans, which reveal cystic lesions in the liver.

What treatment options are available for this infection?

Treatment may involve surgical removal of cysts and antiparasitic medications like albendazole or mebendazole.

What are the potential complications of this infection?

Complications can include cyst rupture, secondary bacterial infection, and anaphylactic reactions.