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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.90

B67.90

Echinococcosis, unspecified

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

Code Description

ICD-10 B67.90 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 linked to contact with infected animals, particularly dogs and livestock. Echinococcosis 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 cases to severe complications such as cyst rupture, anaphylaxis, or secondary 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 or location of echinococcosis is not documented, which can complicate treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of cyst location and type
  • Differentiation from other parasitic infections
  • Potential for severe complications requiring urgent care

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the organ affected by echinococcosis
  • Misclassification of echinococcosis type
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, symptomatology, imaging results, and treatment plans.

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, pathology reports, and follow-up care.

Common Clinical Scenarios

Patients requiring surgical intervention for large or symptomatic cysts.

Billing Considerations

Documentation must clearly indicate the surgical approach and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use B67.90 When
  • 10 coding guidelines specify that B67
  • 90 should be used when the specific type or location of echinococcosis is not documented
  • Coders should ensure that all relevant clinical information is captured to avoid unspecified coding

Exclusion Criteria

Do NOT use B67.90 When
No specific exclusions found.

Related CPT Codes

47562CPT 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 reason 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 echinococcosis, improving the accuracy of epidemiological data and treatment tracking. However, the unspecified code can lead to challenges in treatment planning and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of echinococcosis, improving the accuracy of epidemiological data and treatment tracking. However, the unspecified code can lead to challenges in treatment planning and management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of echinococcosis, improving the accuracy of epidemiological data and treatment tracking. However, the unspecified code can lead to challenges in treatment planning and management.

Resources

Clinical References

  • •
    CDC Echinococcosis Information

Coding & Billing References

  • •
    CDC Echinococcosis Information

Frequently Asked Questions

What is echinococcosis?

Echinococcosis is a parasitic infection caused by tapeworms of the genus Echinococcus, leading to cyst formation in various organs.

How is echinococcosis diagnosed?

Diagnosis is typically made through imaging studies and serological tests, often revealing cysts in the liver or lungs.

What are the treatment options for echinococcosis?

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