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ICD-10 Guide
ICD-10 CodesB67.7

B67.7

Echinococcus granulosus infection of liver

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

Code Description

ICD-10 B67.7 is a billable code used to indicate a diagnosis of echinococcus granulosus infection of liver.

Key Diagnostic Point:

Echinococcus granulosus infection of the liver, also known as hydatid disease, is caused by the larval stage of the Echinococcus granulosus tapeworm. This parasitic infection primarily affects the liver, leading to the formation of cysts that can vary in size. The cysts may remain asymptomatic for years, but as they grow, they can cause abdominal pain, nausea, vomiting, and jaundice due to biliary obstruction. In severe cases, cyst rupture can lead to anaphylactic shock or secondary infections. The transmission of Echinococcus granulosus occurs through the ingestion of eggs found in contaminated food or water, often linked to contact with infected dogs or livestock. Diagnosis typically involves imaging studies such as ultrasound or CT scans, which reveal the characteristic cystic lesions. Treatment options include surgical intervention to remove the cysts or medical management with antiparasitic agents like albendazole or mebendazole. Early diagnosis and treatment are crucial to prevent complications associated with this infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between asymptomatic and symptomatic cases.
  • Understanding the various imaging findings associated with liver cysts.
  • Knowledge of potential complications such as cyst rupture.
  • Awareness of the need for antiparasitic treatment versus surgical intervention.

Audit Risk Factors

  • Inadequate documentation of imaging studies.
  • Failure to specify the presence of complications.
  • Misclassification of asymptomatic cases as symptomatic.
  • Lack of clarity on treatment plans.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with abdominal pain and imaging findings suggestive of hydatid cysts.

Billing Considerations

Ensure documentation reflects the severity of the infection and any complications.

Surgery

Documentation Requirements

Operative reports detailing cyst removal and any complications encountered during surgery.

Common Clinical Scenarios

Surgical intervention for large or symptomatic hydatid cysts.

Billing Considerations

Document the rationale for surgical versus medical management.

Coding Guidelines

Inclusion Criteria

Use B67.7 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases
  • Ensure that the diagnosis is supported by clinical documentation, including imaging studies and treatment plans
  • infection is documented

Exclusion Criteria

Do NOT use B67.7 When
  • Exclude codes for other parasitic infections unless co

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when cysts are causing biliary obstruction.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure the procedure is linked to the diagnosis of Echinococcus granulosus infection.

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 reimbursement processes for conditions like Echinococcus granulosus 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 reimbursement processes for conditions like Echinococcus granulosus infection.

Reimbursement & Billing Impact

reimbursement processes for conditions like Echinococcus granulosus infection.

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 jaundice, particularly if the cysts cause biliary obstruction.