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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.99

B67.99

Other echinococcosis

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

Code Description

ICD-10 B67.99 is a billable code used to indicate a diagnosis of other echinococcosis.

Key Diagnostic Point:

Echinococcosis is a parasitic infection caused by tapeworms of the genus Echinococcus. The most common forms are Echinococcus granulosus and Echinococcus multilocularis, which can lead to the development of cysts in various organs, primarily the liver and lungs. Other forms of echinococcosis may not fit the classic presentations associated with these species, hence the designation 'Other echinococcosis.' Symptoms can vary widely depending on the location and size of the cysts, ranging from asymptomatic 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 scans, or MRI, alongside serological tests. Treatment often includes antiparasitic medications like albendazole or mebendazole, and in some cases, surgical intervention may be necessary to remove cysts or manage complications. Accurate coding is essential for proper treatment reimbursement and epidemiological tracking of this parasitic disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations and symptoms
  • Differentiation from other parasitic infections
  • Need for precise documentation of imaging and serological results
  • Potential for co-infections or complications

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of echinococcosis
  • Lack of imaging or serological test results
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, imaging studies, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure all relevant diagnostic tests are documented to support the diagnosis.

Surgery

Documentation Requirements

Operative reports, pre-operative assessments, and post-operative follow-ups.

Common Clinical Scenarios

Surgical intervention for cyst removal or complications from echinococcosis.

Billing Considerations

Document the indication for surgery and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use B67.99 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant imaging and laboratory results to substantiate the diagnosis of echinococcosis

Exclusion Criteria

Do NOT use B67.99 When
No specific exclusions found.

Related CPT Codes

88305CPT Code

Pathology examination, surgical

Clinical Scenario

Used when cysts are surgically removed and sent for pathological examination.

Documentation Requirements

Operative report and pathology report must be included.

Specialty Considerations

Ensure the pathology report confirms the diagnosis of echinococcosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of echinococcosis, enabling better tracking of the disease and its complications. B67.99 provides a broader category for cases that do not fit into the more specific codes, improving the granularity of data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of echinococcosis, enabling better tracking of the disease and its complications. B67.99 provides a broader category for cases that do not fit into the more specific codes, improving the granularity of data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of echinococcosis, enabling better tracking of the disease and its complications. B67.99 provides a broader category for cases that do not fit into the more specific codes, improving the granularity of data collection.

Resources

Clinical References

  • •
    CDC Echinococcosis Information

Coding & Billing References

  • •
    CDC Echinococcosis Information

Frequently Asked Questions

What are the common symptoms of echinococcosis?

Symptoms can include abdominal pain, nausea, vomiting, and respiratory issues, depending on the location of the cysts. Some patients may be asymptomatic.

How is echinococcosis diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with serological tests to confirm the presence of Echinococcus antibodies.

What treatments are available for echinococcosis?

Treatment options include antiparasitic medications like albendazole or mebendazole, and surgical intervention may be necessary for cyst removal or to address complications.