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v1.0.0
ICD-10 Guide
ICD-10 CodesB69

B69

B69 - Taeniasis

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

Code Description

ICD-10 B69 is a billable code used to indicate a diagnosis of b69 - taeniasis.

Key Diagnostic Point:

Taeniasis is an intestinal infection caused by tapeworms, primarily Taenia saginata (beef tapeworm) and Taenia solium (pork tapeworm). These helminths are transmitted through the ingestion of undercooked or contaminated meat containing larval cysts. Once ingested, the larvae develop into adult tapeworms in the intestines, where they can grow several meters long. Symptoms may be mild or absent, but can include abdominal pain, nausea, diarrhea, and weight loss. In cases of T. solium, there is a risk of cysticercosis if eggs are ingested, leading to more severe complications. Diagnosis is typically made through stool examination for eggs or proglottids. Treatment involves antiparasitic medications such as praziquantel or niclosamide, which are effective in eliminating the adult tapeworms. Proper cooking of meat and good hygiene practices are essential for prevention. Taeniasis is more prevalent in regions with inadequate sanitation and where undercooked meat is commonly consumed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between Taenia species for accurate coding.
  • Understanding the clinical implications of cysticercosis versus taeniasis.
  • Variability in symptoms and presentation among patients.
  • Need for precise documentation of dietary habits and exposure history.

Audit Risk Factors

  • Inadequate documentation of symptoms and exposure history.
  • Misidentification of the tapeworm species.
  • Failure to document treatment response or follow-up.
  • Inconsistent coding of related conditions such as cysticercosis.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including dietary habits and travel history.

Common Clinical Scenarios

Patients presenting with gastrointestinal symptoms after consuming undercooked meat.

Billing Considerations

Consideration of co-infections and the need for comprehensive stool analysis.

Gastroenterology

Documentation Requirements

Endoscopic findings and stool test results.

Common Clinical Scenarios

Patients with unexplained weight loss and gastrointestinal distress.

Billing Considerations

Documentation of any imaging studies performed to rule out complications.

Coding Guidelines

Inclusion Criteria

Use B69 When
  • According to ICD
  • 10 guidelines, B69 should be used when the diagnosis of taeniasis is confirmed through laboratory testing
  • It is important to document the specific type of Taenia involved, as this can affect treatment and management

Exclusion Criteria

Do NOT use B69 When
  • Exclusion criteria include cases where the infection has progressed to cysticercosis

Related Codes

Child Codes

6 codes
B69.0
Neurocysticercosis
B69.1
Cysticercosis of central nervous system
B69.8
Other specified cestodes
B69.81
Myositis in cysticercosis
B69.89
Cysticercosis of other sites
B69.9
Cysticercosis, unspecified

Related CPT Codes

87390CPT Code

Stool examination for ova and parasites

Clinical Scenario

Used when a patient presents with gastrointestinal symptoms suggestive of taeniasis.

Documentation Requirements

Document the reason for the stool test and any relevant symptoms.

Specialty Considerations

Infectious disease specialists may require additional tests to rule out other infections.

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 diagnoses and treatment tracking for taeniasis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of diagnoses and treatment tracking for taeniasis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasitic infections, improving the accuracy of diagnoses and treatment tracking for taeniasis.

Resources

Clinical References

  • •
    CDC - Taeniasis

Coding & Billing References

  • •
    CDC - Taeniasis

Frequently Asked Questions

What is the primary cause of taeniasis?

Taeniasis is primarily caused by the ingestion of undercooked or contaminated meat containing larval cysts of the tapeworms Taenia saginata or Taenia solium.

How is taeniasis diagnosed?

Diagnosis is typically made through stool examination for eggs or proglottids, along with a thorough patient history regarding dietary habits.

What are the treatment options for taeniasis?

Treatment usually involves antiparasitic medications such as praziquantel or niclosamide, which effectively eliminate the adult tapeworms.