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v1.0.0
ICD-10 Guide
ICD-10 CodesB69.8

B69.8

Other specified cestodes

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

Code Description

ICD-10 B69.8 is a billable code used to indicate a diagnosis of other specified cestodes.

Key Diagnostic Point:

Cestodes, commonly known as tapeworms, are a class of parasitic flatworms that can infect the intestines of various hosts, including humans. The ICD-10 code B69.8 is used to classify infections caused by specific types of cestodes that do not fall under more commonly recognized categories. These infections can lead to a range of gastrointestinal symptoms, including abdominal pain, diarrhea, and weight loss. Diagnosis typically involves stool examination for eggs or segments of the tapeworm, and treatment often includes antiparasitic medications such as praziquantel or niclosamide. The clinical presentation can vary based on the specific cestode involved, and some infections may be asymptomatic. Understanding the specific type of cestode is crucial for effective treatment and management, as different species may require different therapeutic approaches. Additionally, public health considerations are important, as some cestode infections can be zoonotic, meaning they can be transmitted from animals to humans. Accurate coding is essential for tracking the prevalence of these infections and ensuring appropriate treatment protocols are followed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of cestodes that may not be well-documented in clinical settings.
  • Need for precise identification of the specific cestode involved.
  • Potential for overlapping symptoms with other gastrointestinal conditions.
  • Variability in treatment protocols based on the type of cestode.

Audit Risk Factors

  • Inadequate documentation of the specific cestode type.
  • Failure to provide supporting lab results.
  • Misclassification of symptoms that overlap with other gastrointestinal disorders.
  • Inconsistent treatment documentation.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, lab results, and treatment plans.

Common Clinical Scenarios

Patients presenting with gastrointestinal symptoms and a history of travel to endemic areas.

Billing Considerations

Ensure that all lab results are clearly documented to support the diagnosis.

Gastroenterology

Documentation Requirements

Endoscopy reports, imaging studies, and stool analysis results.

Common Clinical Scenarios

Patients with unexplained weight loss and gastrointestinal distress.

Billing Considerations

Document any differential diagnoses considered during the evaluation.

Coding Guidelines

Inclusion Criteria

Use B69.8 When
  • According to ICD
  • 10 coding guidelines, B69
  • 8 should be used when the specific type of cestode is not documented
  • Coders should ensure that the diagnosis is supported by clinical findings and laboratory results

Exclusion Criteria

Do NOT use B69.8 When
  • Exclusion criteria include cases where the specific cestode is known and can be coded more accurately

Related CPT Codes

87390CPT Code

Stool examination for parasites

Clinical Scenario

Used when testing for cestode infections.

Documentation Requirements

Document the type of stool test performed and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive lab results are included.

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, including cestodes. B69.8 provides a means to capture infections that do not fit neatly into other categories, improving data accuracy and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parasitic infections, including cestodes. B69.8 provides a means to capture infections that do not fit neatly into other categories, improving data accuracy and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of parasitic infections, including cestodes. B69.8 provides a means to capture infections that do not fit neatly into other categories, improving data accuracy and treatment tracking.

Resources

Clinical References

  • •
    CDC - Parasites

Coding & Billing References

  • •
    CDC - Parasites

Frequently Asked Questions

What are the common symptoms of cestode infections?

Common symptoms include abdominal pain, diarrhea, nausea, and weight loss. Some infections may be asymptomatic.

How is a cestode infection diagnosed?

Diagnosis typically involves stool examination for eggs or segments of the tapeworm, along with clinical evaluation.

What treatments are available for cestode infections?

Antiparasitic medications such as praziquantel or niclosamide are commonly used to treat cestode infections.