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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.8

B67.8

Other specified cestodes

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

Code Description

ICD-10 B67.8 is a billable code used to indicate a diagnosis of other specified cestodes.

Key Diagnostic Point:

Cestodes, commonly known as tapeworms, are a class of parasitic flatworms that can infect the intestines of various hosts, including humans. The ICD-10 code B67.8 is used to classify infections caused by cestodes that are not specifically identified by other codes. These infections can result from various species of tapeworms, such as Echinococcus granulosus, Taenia solium, and others. Symptoms may include abdominal pain, nausea, diarrhea, and weight loss, although some infections can be asymptomatic. Diagnosis typically involves stool examination for eggs or proglottids, imaging studies, and serological tests. Treatment usually includes antiparasitic medications such as praziquantel or albendazole, which are effective against many types of cestodes. The management of cestode infections may also require surgical intervention in cases of cysticercosis or echinococcosis, where cysts form in tissues. Accurate coding for cestode infections is crucial for proper treatment and epidemiological tracking, as these infections can have significant public health implications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of cestode species leading to different clinical presentations.
  • Need for specific diagnostic tests to confirm the type of cestode.
  • Potential for asymptomatic infections complicating diagnosis.
  • Overlap with other parasitic infections requiring careful differentiation.

Audit Risk Factors

  • Inadequate documentation of specific cestode type.
  • Failure to document symptoms or diagnostic tests.
  • Misclassification of cestode infections with other parasitic infections.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, diagnostic test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with gastrointestinal symptoms and a history of travel to endemic areas.

Billing Considerations

Consideration of co-infections and the need for comprehensive parasitological evaluation.

Gastroenterology

Documentation Requirements

Endoscopic findings, imaging results, and symptomatology.

Common Clinical Scenarios

Patients with unexplained weight loss and gastrointestinal disturbances.

Billing Considerations

Documentation of any surgical interventions or complications related to cestode infections.

Coding Guidelines

Inclusion Criteria

Use B67.8 When
  • According to ICD
  • 10 guidelines, B67
  • 8 should be used when a specific cestode infection is not identified
  • Coders must ensure that the documentation supports the diagnosis and that other related codes are not more appropriate

Exclusion Criteria

Do NOT use B67.8 When
No specific exclusions found.

Related CPT Codes

87449CPT Code

Parasitology testing

Clinical Scenario

Used when testing for cestode infections.

Documentation Requirements

Document the reason for testing and the specific symptoms.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing for accurate diagnosis.

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, including cestodes. B67.8 provides a means to capture cases that do not fit neatly into other categories, improving data collection and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, including cestodes. B67.8 provides a means to capture cases that do not fit neatly into other categories, improving data collection and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasitic infections, including cestodes. B67.8 provides a means to capture cases that do not fit neatly into other categories, improving data collection and treatment tracking.

Resources

Clinical References

  • •
    CDC Parasitic Diseases

Coding & Billing References

  • •
    CDC Parasitic Diseases

Frequently Asked Questions

What are the common symptoms of cestode infections?

Common symptoms include abdominal pain, nausea, diarrhea, weight loss, and in some cases, anemia. Some infections may be asymptomatic.

How are cestode infections diagnosed?

Diagnosis typically involves stool examination for eggs or proglottids, imaging studies, and serological tests.

What treatments are available for cestode infections?

Antiparasitic medications such as praziquantel or albendazole are commonly used, and surgical intervention may be necessary in certain cases.