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ICD-10 Guide
ICD-10 CodesB67.69

B67.69

Echinococcus multilocularis infection, other sites

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

Code Description

ICD-10 B67.69 is a billable code used to indicate a diagnosis of echinococcus multilocularis infection, other sites.

Key Diagnostic Point:

Echinococcus multilocularis infection is a parasitic disease caused by the larval stage of the Echinococcus multilocularis tapeworm. This helminthic infection primarily affects the liver, leading to the formation of cyst-like lesions that can mimic malignancy. The infection 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 like albendazole or mebendazole to manage the infection and prevent recurrence. The complexity of this condition arises from its potential for misdiagnosis, the need for careful monitoring, and the requirement for a multidisciplinary approach to treatment.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and symptomatology
  • Need for differential diagnosis with other hepatic lesions
  • Potential for co-infection with other parasites
  • Complex treatment regimens involving surgery and antiparasitic therapy

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the site of infection
  • Misclassification of the infection type
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, symptomatology, diagnostic imaging results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Consideration of travel history and exposure to endemic areas.

Surgery

Documentation Requirements

Operative reports detailing cyst removal, pathology reports, and follow-up care.

Common Clinical Scenarios

Patients requiring surgical intervention for large or symptomatic cysts.

Billing Considerations

Documentation of surgical approach and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use B67.69 When
  • Follow ICD
  • CM guidelines for coding parasitic infections, ensuring specificity in site and type of infection
  • Include any relevant co
  • morbidities and complications in coding

Exclusion Criteria

Do NOT use B67.69 When
No specific exclusions found.

Related CPT Codes

47563CPT Code

Laparoscopic liver cystectomy

Clinical Scenario

Used in cases where cysts are symptomatic or large.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Surgical documentation must include indications for surgery.

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 data accuracy and facilitating better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving data accuracy and facilitating better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving data accuracy and facilitating better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    CDC Echinococcosis Information

Coding & Billing References

  • •
    CDC Echinococcosis Information

Frequently Asked Questions

What are the common symptoms of Echinococcus multilocularis infection?

Common symptoms include abdominal pain, jaundice, weight loss, and in some cases, asymptomatic presentations. Diagnosis often requires imaging and serological testing.