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v1.0.0
ICD-10 Guide
ICD-10 CodesB68.9

B68.9

Toxoplasmosis, unspecified

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

Code Description

ICD-10 B68.9 is a billable code used to indicate a diagnosis of toxoplasmosis, unspecified.

Key Diagnostic Point:

Toxoplasmosis is an infection caused by the parasite Toxoplasma gondii, which can infect most warm-blooded animals, including humans. The infection is often asymptomatic in healthy individuals but can lead to severe complications in immunocompromised patients, such as those with HIV/AIDS or undergoing chemotherapy. In pregnant women, it poses a risk of congenital transmission, potentially resulting in serious fetal complications. The disease is typically acquired through ingestion of oocysts found in cat feces, contaminated food, or water, or through consumption of undercooked meat containing tissue cysts. Symptoms, when present, may include flu-like manifestations, lymphadenopathy, and ocular issues. Diagnosis is primarily through serological testing for specific antibodies or PCR testing. Treatment usually involves antiparasitic medications such as pyrimethamine and sulfadiazine, particularly in severe cases or in immunocompromised patients. The unspecified nature of this code indicates that the specific manifestations or complications of the infection are not detailed, which may complicate treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the disease.
  • Need for serological confirmation and interpretation of results.
  • Potential for co-infection with other diseases, complicating diagnosis.
  • Documentation requirements for immunocompromised patients.

Audit Risk Factors

  • Inadequate documentation of symptoms or clinical findings.
  • Failure to specify immunocompromised status.
  • Misinterpretation of serological test results.
  • Inconsistent coding of related conditions.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with flu-like symptoms, immunocompromised patients, and pregnant women.

Billing Considerations

Need for thorough documentation of serological tests and any complications.

Obstetrics

Documentation Requirements

Pregnancy status, serological testing results, and fetal monitoring.

Common Clinical Scenarios

Pregnant women with potential exposure to Toxoplasma.

Billing Considerations

Documentation of maternal and fetal health outcomes.

Coding Guidelines

Inclusion Criteria

Use B68.9 When
  • Follow ICD
  • CM guidelines for coding infectious diseases, ensuring accurate documentation of the patient's clinical status and any complications
  • Include relevant laboratory findings and treatment plans

Exclusion Criteria

Do NOT use B68.9 When
No specific exclusions found.

Related CPT Codes

86777CPT Code

Toxoplasma antibody test

Clinical Scenario

Used to confirm diagnosis in suspected cases of toxoplasmosis.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of toxoplasmosis, improving the ability to track and manage cases, especially in immunocompromised populations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of toxoplasmosis, improving the ability to track and manage cases, especially in immunocompromised populations.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of toxoplasmosis, improving the ability to track and manage cases, especially in immunocompromised populations.

Resources

Clinical References

  • •
    CDC Toxoplasmosis Information

Coding & Billing References

  • •
    CDC Toxoplasmosis Information

Frequently Asked Questions

What are the common symptoms of toxoplasmosis?

Common symptoms include flu-like symptoms, lymphadenopathy, and in severe cases, neurological symptoms or ocular issues.

How is toxoplasmosis diagnosed?

Diagnosis is typically made through serological testing for antibodies against Toxoplasma gondii, with PCR testing used in severe cases.

What is the treatment for toxoplasmosis?

Treatment usually involves antiparasitic medications such as pyrimethamine and sulfadiazine, especially in severe cases or in immunocompromised patients.