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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.3

B67.3

Echinococcosis, unspecified

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

Code Description

ICD-10 B67.3 is a billable code used to indicate a diagnosis of echinococcosis, unspecified.

Key Diagnostic Point:

Echinococcosis is a parasitic infection caused by tapeworms of the genus Echinococcus. The most common species affecting humans are Echinococcus granulosus and Echinococcus multilocularis. The infection typically occurs through ingestion of eggs found in contaminated food, water, or soil, often associated with contact with infected animals, particularly dogs and livestock. Echinococcosis can lead to the formation of cysts in various organs, most commonly the liver and lungs, which can cause significant morbidity. Symptoms may vary widely, ranging from asymptomatic cases to severe complications such as cyst rupture, anaphylaxis, or secondary infections. Diagnosis is primarily through imaging studies like ultrasound, CT, or MRI, along with serological tests. Treatment often involves surgical intervention to remove cysts, and antiparasitic medications such as albendazole or mebendazole may be used as adjunct therapy. The unspecified nature of this code indicates that the specific type or location of echinococcosis is not documented, which can complicate treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies for accurate diagnosis
  • Potential for severe complications requiring surgical intervention
  • Differentiation from other parasitic infections

Audit Risk Factors

  • Inadequate documentation of symptoms and exposure history
  • Failure to specify the organ affected
  • Lack of imaging or serological test results
  • Misclassification of echinococcosis type

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure risks, and diagnostic imaging results.

Common Clinical Scenarios

Patients presenting with abdominal pain, respiratory symptoms, or incidental findings on imaging.

Billing Considerations

Ensure thorough documentation of serological tests and imaging studies to support diagnosis.

Surgery

Documentation Requirements

Operative reports detailing cyst removal and any complications encountered.

Common Clinical Scenarios

Patients requiring surgical intervention for cysts causing obstruction or infection.

Billing Considerations

Document the surgical approach and any postoperative complications for accurate coding.

Coding Guidelines

Inclusion Criteria

Use B67.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's specifics, including any associated symptoms or complications
  • Use additional codes to specify complications if applicable

Exclusion Criteria

Do NOT use B67.3 When
No specific exclusions found.

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Performed when echinococcosis leads to gallbladder complications.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Ensure the diagnosis of echinococcosis is clearly linked to the surgical procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of echinococcosis, improving the ability to track and manage cases effectively. However, the unspecified code B67.3 may lead to challenges in treatment planning and reimbursement if not documented properly.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of echinococcosis, improving the ability to track and manage cases effectively. However, the unspecified code B67.3 may lead to challenges in treatment planning and reimbursement if not documented properly.

Reimbursement & Billing Impact

reimbursement if not documented properly.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of echinococcosis?

Common symptoms include abdominal pain, jaundice, respiratory distress, and in severe cases, anaphylaxis due to cyst rupture.

How is echinococcosis diagnosed?

Diagnosis is typically made through imaging studies such as ultrasound or CT scans, along with serological tests to confirm the presence of the parasite.