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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.2

B67.2

Echinococcus multilocularis infection

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

Code Description

ICD-10 B67.2 is a billable code used to indicate a diagnosis of echinococcus multilocularis infection.

Key Diagnostic Point:

Echinococcus multilocularis infection is a parasitic disease caused by the larval stage of the Echinococcus multilocularis tapeworm. This infection primarily affects the liver, leading to the formation of cyst-like lesions that can mimic tumors. The disease is endemic in certain regions, particularly in the Northern Hemisphere, where it is transmitted through contact with infected canids, such as foxes and domestic dogs, or through ingestion of contaminated food or water. Symptoms may include abdominal pain, jaundice, and weight loss, but many patients remain asymptomatic for years. Diagnosis is typically confirmed through imaging studies, such as ultrasound or CT scans, and serological tests. Treatment often involves surgical intervention to remove cysts, along with antiparasitic medications such as albendazole or mebendazole to prevent recurrence. Early diagnosis and treatment are crucial to prevent severe complications, including liver failure and metastasis to other organs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other helminthic infections
  • Need for precise documentation of symptoms and imaging results
  • Potential for misdiagnosis due to asymptomatic nature
  • Variability in treatment protocols based on disease stage

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to document imaging results
  • Misclassification of the disease stage
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure risk, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with abdominal pain and jaundice, or incidental findings on imaging.

Billing Considerations

Ensure all diagnostic tests and treatment plans are clearly documented to support coding.

Surgery

Documentation Requirements

Operative reports detailing cyst removal and any complications.

Common Clinical Scenarios

Patients requiring surgical intervention for large or symptomatic cysts.

Billing Considerations

Document the extent of surgery and any follow-up treatments to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use B67.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the infection's clinical presentation, diagnostic tests, and treatment plans
  • Include any relevant co
  • morbid conditions that may affect treatment

Exclusion Criteria

Do NOT use B67.2 When
No specific exclusions found.

Related CPT Codes

47563CPT Code

Laparoscopic liver cystectomy

Clinical Scenario

Used for surgical intervention in symptomatic Echinococcus multilocularis infection.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Ensure the surgical indication aligns with the diagnosis for accurate coding.

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, improving the accuracy of data collection and treatment tracking for Echinococcus multilocularis infection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of data collection and treatment tracking for Echinococcus multilocularis infection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of data collection and treatment tracking for Echinococcus multilocularis infection.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of Echinococcus multilocularis infection?

Common symptoms include abdominal pain, jaundice, and weight loss, but many patients may remain asymptomatic for years.

How is Echinococcus multilocularis diagnosed?

Diagnosis is typically made through imaging studies such as ultrasound or CT scans, along with serological tests.

What treatments are available for Echinococcus multilocularis infection?

Treatment often involves surgical removal of cysts and antiparasitic medications like albendazole or mebendazole.