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ICD-10 Guide
ICD-10 CodesB71.8

B71.8

Other specified cestodes

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

Code Description

ICD-10 B71.8 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 term 'Other specified cestodes' refers to infections caused by cestodes that do not fall under the more commonly recognized species such as Taenia saginata (beef tapeworm) or Taenia solium (pork tapeworm). These infections can lead to a range of gastrointestinal symptoms, including abdominal pain, nausea, diarrhea, and weight loss. Diagnosis typically involves stool examination for eggs or proglottids, and serological tests may be used for certain species. Treatment usually involves antiparasitic medications such as praziquantel or niclosamide, which are effective in eliminating the adult worms from the host's intestines. Proper identification of the specific cestode species is crucial for effective treatment and management, as some may have additional complications or require different therapeutic approaches.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of cestode species leading to different clinical presentations.
  • Need for accurate laboratory identification of the specific cestode.
  • Potential for co-infections with other parasites.
  • Variability in treatment protocols based on the species.

Audit Risk Factors

  • Inadequate documentation of the specific cestode species.
  • Failure to document symptoms and diagnostic tests.
  • Incorrect coding due to lack of specificity.
  • Misunderstanding of treatment protocols.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure all laboratory findings are documented to support the diagnosis.

Gastroenterology

Documentation Requirements

Endoscopic findings, imaging studies, and stool test results.

Common Clinical Scenarios

Patients with unexplained weight loss and gastrointestinal distress.

Billing Considerations

Document any co-existing gastrointestinal conditions that may complicate the diagnosis.

Coding Guidelines

Inclusion Criteria

Use B71.8 When
  • According to ICD
  • 10 coding guidelines, B71
  • 8 should be used when the specific cestode causing the infection is not classified elsewhere
  • Coders must ensure that the diagnosis is supported by clinical documentation and laboratory results

Exclusion Criteria

Do NOT use B71.8 When
  • Exclusion criteria include cases where the specific cestode is identified

Related CPT Codes

87390CPT Code

Stool examination for ova and parasites

Clinical Scenario

When a patient presents with gastrointestinal symptoms suggestive of a cestode infection.

Documentation Requirements

Document the reason for the stool examination and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of all findings.

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. This has improved the accuracy of data collection and reimbursement processes, but it also requires coders to be more knowledgeable about the various species and their implications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, including cestodes. This has improved the accuracy of data collection and reimbursement processes, but it also requires coders to be more knowledgeable about the various species and their implications.

Reimbursement & Billing Impact

reimbursement processes, but it also requires coders to be more knowledgeable about the various species and their implications.

Resources

Clinical References

  • •
    CDC - Parasites

Coding & Billing References

  • •
    CDC - Parasites

Frequently Asked Questions

What should I document to support the use of code B71.8?

You should document the patient's symptoms, any relevant travel history, laboratory findings, and the treatment plan. Ensure that the specific cestode species is noted if identified.