ICD-10 Guide

B67.32

Echinococcus granulosus infection, multiple sites

BILLABLE STATUSYes

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/05/2025

Code Description

ICD-10 B67.32 is a billable code used to indicate a diagnosis of echinococcus granulosus infection, multiple sites.

Key Diagnostic Point:

Echinococcus granulosus infection, commonly known as hydatid disease, is a parasitic infection caused by the larval stage of the Echinococcus granulosus tapeworm. This infection primarily affects the liver and lungs but can involve multiple organs, leading to the formation of cysts filled with fluid. The transmission occurs through the ingestion of eggs found in contaminated food or water, often linked to contact with infected dogs or livestock. Symptoms may vary depending on the cyst location and size, ranging from asymptomatic cases to severe complications such as cyst rupture, which can lead to anaphylactic shock or secondary infections. Diagnosis typically involves imaging studies such as ultrasound, CT, or MRI to identify cysts, along with serological tests to confirm the presence of the parasite. Treatment options include surgical removal of cysts and antiparasitic medications like albendazole or mebendazole, which help to reduce cyst size and prevent recurrence. Early diagnosis and intervention are crucial to prevent complications associated with this infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

Variety of clinical presentations depending on cyst location.
Need for imaging studies for accurate diagnosis.
Potential for severe complications requiring urgent care.
Differentiation from other parasitic infections.

Audit Risk Factors

Inadequate documentation of cyst locations.
Failure to report complications such as rupture.
Misclassification of the infection site.
Lack of supporting imaging studies in the medical record.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, imaging results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure all sites of infection are documented and linked to treatment plans.

Surgery

Documentation Requirements

Operative reports detailing cyst removal and any complications encountered.

Common Clinical Scenarios

Surgical intervention for large cysts or those causing symptoms.

Billing Considerations

Document the extent of surgery and any postoperative complications.

Coding Guidelines

Inclusion Criteria

Use B67.32 When

According to ICD
10 guidelines, B67
32 should be used when there is clear documentation of Echinococcus granulosus infection affecting multiple sites
It is important to ensure that the diagnosis is supported by imaging and clinical findings

Exclusion Criteria

Do NOT use B67.32 When

No specific exclusions found.

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when cysts are located in the liver and require surgical intervention.

Documentation Requirements

Operative report detailing the procedure and findings.

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 echinococcal infections, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of echinococcal infections, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

•
CDC - Echinococcosis

Coding & Billing References

•
CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of Echinococcus granulosus infection?

Common symptoms include abdominal pain, nausea, vomiting, and respiratory issues, depending on the cyst location. Some patients may be asymptomatic.

ICD-10 B67.32 is a billable code used to indicate a diagnosis of echinococcus granulosus infection, multiple sites.