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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.9

B67.9

Echinococcosis, unspecified

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

Code Description

ICD-10 B67.9 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 the 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 depending on the location and size of the cysts, ranging from asymptomatic cases to severe complications such as cyst rupture, anaphylaxis, or secondary infections. Diagnosis is primarily through imaging studies such as ultrasound, CT, or MRI, alongside serological tests. Treatment often involves surgical intervention to remove cysts, and antiparasitic medications like 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

  • Insufficient documentation of clinical findings
  • Lack of imaging results in the medical record
  • Inadequate history of exposure to potential sources
  • Failure to document treatment plans or follow-up care

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including exposure risks and symptomatology; imaging results; treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Consideration of co-infections and the need for multidisciplinary management.

Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients requiring surgical intervention for large or symptomatic cysts.

Billing Considerations

Documentation of surgical indications and outcomes is critical for coding.

Coding Guidelines

Inclusion Criteria

Use B67.9 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's clinical presentation and any imaging studies performed

Exclusion Criteria

Do NOT use B67.9 When
  • Exclude codes for other specific types of echinococcosis when coding B67

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Performed when echinococcosis leads to complications requiring gallbladder removal.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Surgical documentation must clearly link the procedure to the diagnosis.

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 B67.9 may lead to challenges in treatment planning and epidemiological tracking.

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 B67.9 may lead to challenges in treatment planning and epidemiological tracking.

Reimbursement & Billing Impact

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 B67.9 may lead to challenges in treatment planning and epidemiological tracking.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What is echinococcosis?

Echinococcosis is a parasitic infection caused by tapeworms of the Echinococcus genus, leading to cyst formation in various organs.

How is echinococcosis diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with serological tests to detect specific antibodies.

What are the treatment options for echinococcosis?

Treatment may include surgical removal of cysts and antiparasitic medications like albendazole or mebendazole.