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ICD-10 Guide
ICD-10 CodesB69.0

B69.0

Neurocysticercosis

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

Code Description

ICD-10 B69.0 is a billable code used to indicate a diagnosis of neurocysticercosis.

Key Diagnostic Point:

Neurocysticercosis is a parasitic infection caused by the larval stage of the Taenia solium tapeworm, commonly known as the pork tapeworm. This condition occurs when the larvae invade the central nervous system, leading to a range of neurological symptoms. The infection is prevalent in regions where pigs are raised and where sanitation practices are inadequate. Patients may present with seizures, headaches, and other neurological deficits, depending on the location and number of cysts in the brain. Diagnosis is typically confirmed through imaging studies such as MRI or CT scans, which reveal cystic lesions. Treatment often involves antiparasitic medications such as albendazole or praziquantel, along with corticosteroids to manage inflammation. Neurocysticercosis can lead to significant morbidity, and in severe cases, it may be life-threatening if not treated promptly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of cysticercosis (e.g., neurocysticercosis vs. other forms)
  • Need for precise documentation of neurological symptoms and imaging findings
  • Potential for co-infection with other parasitic diseases
  • Variability in clinical presentation based on cyst location

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to document imaging results
  • Misclassification of cysticercosis type
  • Lack of clarity on treatment protocols followed

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with seizures, headaches, or cognitive changes.

Billing Considerations

Ensure thorough documentation of neurological deficits and imaging studies to support the diagnosis.

Infectious Disease

Documentation Requirements

History of exposure, travel history, and treatment response.

Common Clinical Scenarios

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

Billing Considerations

Document any co-infections or other parasitic diseases that may complicate the case.

Coding Guidelines

Inclusion Criteria

Use B69.0 When
  • Follow the official ICD
  • CM coding guidelines for parasitic infections
  • Ensure accurate documentation of the condition, including the type of cysticercosis and any associated symptoms

Exclusion Criteria

Do NOT use B69.0 When
  • Exclude codes for other types of cysticercosis unless specified

Related CPT Codes

96365CPT Code

Intravenous infusion, for therapy, prophylaxis, or diagnosis

Clinical Scenario

Used when administering antiparasitic treatment in an inpatient setting.

Documentation Requirements

Document the reason for infusion and the medication administered.

Specialty Considerations

Ensure that the infusion is linked to the diagnosis of neurocysticercosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurocysticercosis, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track epidemiological trends related to this parasitic infection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurocysticercosis, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track epidemiological trends related to this parasitic infection.

Reimbursement & Billing Impact

reimbursement processes. It has also enhanced the ability to track epidemiological trends related to this parasitic infection.

Resources

Clinical References

  • •
    CDC - Neurocysticercosis

Coding & Billing References

  • •
    CDC - Neurocysticercosis

Frequently Asked Questions

What are the common symptoms of neurocysticercosis?

Common symptoms include seizures, headaches, confusion, and other neurological deficits, depending on the location of the cysts in the brain.

How is neurocysticercosis diagnosed?

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

What treatments are available for neurocysticercosis?

Treatment often involves antiparasitic medications like albendazole or praziquantel, along with corticosteroids to reduce inflammation.