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

B60.10

Acanthamebiasis, unspecified

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

Code Description

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

Key Diagnostic Point:

Acanthamebiasis is an infection caused by the protozoan Acanthamoeba, which is commonly found in soil, water, and air. This organism can lead to severe infections, particularly in immunocompromised individuals, and is known for causing keratitis, granulomatous amebic encephalitis (GAE), and disseminated disease. The infection is often associated with contact lens wearers who expose their lenses to contaminated water. Symptoms may include eye pain, redness, blurred vision, and in severe cases, vision loss. In immunocompromised patients, Acanthamoeba can invade the central nervous system, leading to neurological symptoms such as headaches, seizures, and altered mental status. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests, including culture and PCR. Treatment protocols may include the use of topical anti-amebic agents, such as chlorhexidine and propamidine, and in severe cases, systemic therapies may be required. Early diagnosis and intervention are crucial to prevent serious complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations (ocular vs. systemic)
  • Differentiation from other protozoal infections
  • Need for specific laboratory confirmation
  • Potential for co-infections in immunocompromised patients

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document laboratory confirmation
  • Misclassification of the severity of the infection
  • Lack of clarity on the patient's immunocompromised status

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed documentation of ocular symptoms, visual acuity tests, and treatment response.

Common Clinical Scenarios

Patients presenting with keratitis symptoms, particularly contact lens wearers.

Billing Considerations

Ensure documentation includes the type of contact lenses used and any exposure to contaminated water.

Infectious Disease

Documentation Requirements

Comprehensive history of immunocompromised status, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients with neurological symptoms and a history of exposure to Acanthamoeba.

Billing Considerations

Document any co-infections and the patient's overall health status.

Coding Guidelines

Inclusion Criteria

Use B60.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the clinical presentation and laboratory confirmation
  • Include any relevant patient history, especially immunocompromised status, to support the diagnosis

Exclusion Criteria

Do NOT use B60.10 When
No specific exclusions found.

Related CPT Codes

88305CPT Code

Pathology examination, surgical

Clinical Scenario

Used when tissue samples are taken for diagnosis of Acanthamoeba infection.

Documentation Requirements

Document the reason for the biopsy and the findings.

Specialty Considerations

Ensure the pathology report is linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Acanthamoeba infections, improving the accuracy of data collection and treatment tracking. This specificity aids in better understanding the epidemiology of the disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Acanthamoeba infections, improving the accuracy of data collection and treatment tracking. This specificity aids in better understanding the epidemiology of the disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Acanthamoeba infections, improving the accuracy of data collection and treatment tracking. This specificity aids in better understanding the epidemiology of the disease.

Resources

Clinical References

  • •
    CDC Acanthamoeba Information

Coding & Billing References

  • •
    CDC Acanthamoeba Information

Frequently Asked Questions

What are the common symptoms of Acanthamebiasis?

Common symptoms include eye pain, redness, blurred vision, and in severe cases, vision loss. In immunocompromised patients, symptoms may also include headaches, seizures, and altered mental status.