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v1.0.0
ICD-10 Guide
ICD-10 CodesB60.00

B60.00

Babesiosis, unspecified

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

Code Description

ICD-10 B60.00 is a billable code used to indicate a diagnosis of babesiosis, unspecified.

Key Diagnostic Point:

Babesiosis is a protozoal infection caused by parasites of the genus Babesia, which are transmitted primarily through the bite of infected Ixodes ticks. This disease is characterized by symptoms such as fever, chills, sweats, headache, body aches, loss of appetite, and nausea. In severe cases, it can lead to hemolytic anemia, thrombocytopenia, and multi-organ failure, particularly in immunocompromised individuals or those without a spleen. The clinical presentation can vary widely, with some patients being asymptomatic while others may experience severe illness. Diagnosis is typically confirmed through blood smear microscopy or serological tests. Treatment usually involves the use of antimalarial medications such as atovaquone combined with azithromycin or clindamycin combined with quinine. Given its association with tick exposure, babesiosis is more prevalent in certain geographic areas, particularly in the northeastern and upper midwestern United States, making awareness and preventive measures crucial for at-risk populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied clinical presentation and symptomatology
  • Potential for co-infection with Lyme disease or other tick-borne illnesses
  • Need for accurate laboratory confirmation for diagnosis
  • Differentiation from other febrile illnesses

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to document laboratory confirmation of diagnosis
  • Misclassification of the condition due to overlapping symptoms with other diseases
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes including symptom onset, laboratory results, and treatment response.

Common Clinical Scenarios

Patients presenting with fever and recent travel to endemic areas, or those with tick exposure.

Billing Considerations

Consideration of co-infections and immunocompromised status is crucial for accurate coding.

Primary Care

Documentation Requirements

Comprehensive patient history, including travel and exposure history, and symptom documentation.

Common Clinical Scenarios

Patients with flu-like symptoms and potential tick exposure.

Billing Considerations

Awareness of local epidemiology of babesiosis and related diseases is important.

Coding Guidelines

Inclusion Criteria

Use B60.00 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and laboratory results
  • existing

Exclusion Criteria

Do NOT use B60.00 When
  • Exclude codes for other specific protozoal infections unless co

Related CPT Codes

87491CPT Code

Babesia testing

Clinical Scenario

Used when a patient presents with symptoms suggestive of babesiosis.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists may require additional lab results for comprehensive evaluation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving data accuracy and enabling better tracking of the disease's epidemiology.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of babesiosis, improving data accuracy and enabling better tracking of the disease's epidemiology.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    CDC Babesiosis Information

Coding & Billing References

  • •
    CDC Babesiosis Information

Frequently Asked Questions

What are the common symptoms of babesiosis?

Common symptoms include fever, chills, sweats, headache, body aches, loss of appetite, and nausea. Severe cases may lead to hemolytic anemia and other complications.

How is babesiosis diagnosed?

Diagnosis is typically made through blood smear microscopy or serological tests that detect antibodies against Babesia.

What is the treatment for babesiosis?

Treatment usually involves antimalarial medications such as atovaquone combined with azithromycin or clindamycin combined with quinine.