ICD-10 Guide

A06.82

Other amebic genitourinary infections

BILLABLE STATUSYes

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/04/2025

Code Description

ICD-10 A06.82 is a billable code used to indicate a diagnosis of other amebic genitourinary infections.

Key Diagnostic Point:

Other amebic genitourinary infections

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

# Analysis of ICD-10 Code A06.82 - Other Amebic Genitourinary Infections ## Complexity Rating: Medium ### Factors Contributing to Complexity 1. **Etiology and Diagnosis**: - Amebic genitourinary infections are caused by specific pathogens, primarily *Entamoeba histolytica*, which can lead to variable clinical presentations. The complexity arises from differential diagnoses that may include bacterial infections, sexually transmitted infections (STIs), or other parasitic infections. 2. **Clinical Presentation**: - Symptoms can range from mild to severe, and may mimic other conditions, requiring thorough clinical evaluation. The need for accurate symptom assessment can complicate diagnosis and coding. 3. **Interrelated Conditions**: - Patients may have comorbidities or concurrent infections, complicating the coding process. Understanding how these conditions interact is essential for accurate coding. 4. **Laboratory Confirmation**: - Diagnosis often relies on laboratory tests (stool samples, serology), which may not always be conclusive, leading to potential misdiagnosis or underreporting of infections. 5. **Geographic Variability**: - The prevalence of amebic infections varies by region, which can impact coding practices and awareness among healthcare providers. ### Audit Risks and Considerations 1. **Coding Accuracy**: - Inaccurate coding can lead to audit risks, particularly if the diagnosis does not align with clinical documentation. Proper linkage of symptoms, lab results, and treatment is crucial. 2. **Clinical Documentation Improvement (CDI)**: - Auditors may scrutinize the documentation for specificity, ensuring that the diagnosis is well-supported by clinical findings and test results. Lack of clarity can result in denials or recoupments. 3. **Upcoding/Downcoding Risks**: - There is a potential for upcoding (assigning a more severe code than warranted) or downcoding (not capturing the full extent of the disease), both of which can have financial implications for healthcare providers. 4. **Pathogen Identification**: - If the specific strain or type of amebic infection is not documented, it may lead to coding discrepancies. Accurate pathogen identification is key to appropriate coding. ### Documentation Requirements 1. **Clinical Findings**: - Comprehensive documentation of symptoms, including onset, duration, and severity, must be recorded. Specific mention of genitourinary symptoms (e.g., dysuria, discharge) is essential. 2. **Laboratory Results**: - Documentation of any laboratory tests performed (e.g., stool examinations, serologic tests) must be included to substantiate the diagnosis. Clear results should be noted, indicating the presence of *Entamoeba histolytica* or any other relevant findings. 3. **Treatment and Management**: - Details regarding the treatment plan, including medications administered (e.g., metronidazole) and patient response to treatment, should be documented to provide a complete picture of the patient's care. 4. **Comorbid Conditions**: - Any coexisting conditions that may affect the diagnosis or treatment of the amebic infection should be documented, linking them appropriately in the medical record. 5. **Follow-Up Plans**: - Documentation should include any planned follow-up assessments or additional testing to monitor the resolution of the infection or manage any complications. By ensuring comprehensive and accurate documentation, healthcare providers can reduce audit risks associated with ICD-10 code A06.82 and improve the quality of patient care through appropriate coding practices.

Audit Risk Factors

Specialty Focus

Medical Specialties

General

Documentation Requirements

Standard requirements apply

Common Clinical Scenarios

Various clinical presentations

Billing Considerations

Follow standard billing guidelines

Coding Guidelines

Inclusion Criteria

Use A06.82 When

10 Code A06
82: Other Amebic Genitourinary Infections
10 code A06
82 is used to classify infections of the genitourinary system caused by amebae other than the more commonly recognized species, Entamoeba histolytica
This code is part of a broader category that encompasses various amebic infections, which can lead to serious health complications if left untreated
When to Use A06
Related Codes
Use A06

Exclusion Criteria

Do NOT use A06.82 When

Inclusion and Exclusion Criteria
Exclusion Criteria:
Exclude this code if the infection is due to Entamoeba histolytica (use A06

Related CPT Codes

No CPT Codes Available

Related CPT codes for this diagnosis will be displayed here when available.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Changes from ICD-9 to ICD-10

- In ICD-9, the coding for amebic infections was primarily captured under the codes 006.9 (Amebiasis, unspecified) and 006.8 (Other amebiasis).

ICD-9 vs ICD-10

The implementation of ICD-10 has had a significant impact on the coding and billing processes across various medical specialties, including the coding for conditions such as A06.82 - Other amebic genitourinary infections. Here’s an overview of how this transition has influenced various aspects of coding for this specific condition: Changes from ICD-9 to ICD-10 1. Coding Structure: - In ICD-9, the coding for amebic infections was primarily captured under the codes 006.9 (Amebiasis, unspecified) and 006.8 (Other amebiasis). - ICD-10 introduced a more granular coding system, where A06.82 specifically captures "Other amebic genitourinary infections." This change signifies a move towards more detailed and precise coding. 2. Code Expansion: - ICD-10 offers a greater number of codes, which allows for better classification of diseases and conditions. The introduction of the A06 category allows for differentiation between types of amebic infections, enhancing the granularity of data. Specificity Improvements - Increased Detail: -...

Reimbursement & Billing Impact

billing processes across various medical specialties, including the coding for conditions such as A06.82 - Other amebic genitourinary infections. Here’s an overview of how this transition has influenced various aspects of coding for this specific condition:

A06.82

Code Description

Key Diagnostic Point:

Code Complexity Analysis

Complexity Rating: Medium

Complexity Factors

Audit Risk Factors

Specialty Focus

Medical Specialties

General

Documentation Requirements

Common Clinical Scenarios

Billing Considerations

Coding Guidelines

Inclusion Criteria

Exclusion Criteria

Related CPT Codes

No CPT Codes Available

ICD-10 Impact

Diagnostic & Documentation Impact

ICD-10 Improvements

ICD-9 vs ICD-10

Reimbursement & Billing Impact

Resources

Clinical References

Coding & Billing References

Frequently Asked Questions

A06.82

Code Description

Key Diagnostic Point:

Code Complexity Analysis

Complexity Rating: Medium

Complexity Factors

Audit Risk Factors

Specialty Focus

Medical Specialties

General

Documentation Requirements

Common Clinical Scenarios

Billing Considerations

Coding Guidelines

Inclusion Criteria

Exclusion Criteria

Related CPT Codes

No CPT Codes Available

ICD-10 Impact

Diagnostic & Documentation Impact

ICD-10 Improvements

ICD-9 vs ICD-10

Reimbursement & Billing Impact

Resources

Clinical References

Coding & Billing References

Frequently Asked Questions