ICD-10 Code B66.3 | Fascioliasis Symptoms, Diagnosis, Billing

Fascioliasis is a parasitic infection caused by the liver fluke Fasciola hepatica, primarily affecting the liver and biliary system. It is clinically significant due to its potential to cause severe liver damage and cholangitis. Accurate coding with ICD-10 Code B66.3 facilitates precise diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code B66.3 for Fascioliasis?

ICD-10 Code B66.3 represents Fascioliasis, an infection caused by the liver fluke Fasciola hepatica. This code should be used when documenting cases of fascioliasis in clinical settings, particularly when patients present with symptoms related to liver dysfunction or biliary obstruction. Accurate coding is essential for effective treatment planning and reimbursement processes.

ICD-10 Code B66.3 – Clinical Definition and Explanation of Fascioliasis

Fascioliasis is caused by the ingestion of contaminated water or food containing the larvae of Fasciola hepatica. The infection can lead to significant liver damage and requires prompt medical attention to prevent complications. Early diagnosis and treatment are crucial for patient recovery.

Key Clinical Features:

• Abdominal pain, particularly in the right upper quadrant.
• Jaundice due to bile duct obstruction.
• Fever and chills indicating possible infection.
• Hepatomegaly observed on physical examination.

ICD-10 Code B66.3 for Fascioliasis – SOAP Notes & Clinical Use

ICD-10 Code B66.3 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for fascioliasis. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code B66.3 for Fascioliasis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B66.3 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of fascioliasis. This code supports continuity of care, facilitates appropriate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B66.3 – Fascioliasis

Fascioliasis may require hospitalization for severe cases, particularly when liver function is compromised. Treatment typically involves antiparasitic medications and supportive care.

Antibiotic Therapy:

• Triclabendazole: First-line treatment, typically administered as a single dose.
• Alternative: Nitazoxanide may be considered in resistant cases.

Supportive Care:

• Hydration and electrolyte management.
• Pain management with analgesics.
• Monitoring liver function tests.

Infection Control:

• Educate patients on avoiding contaminated water sources.
• Implement hygiene measures to prevent transmission.

How to Document Symptoms of Fascioliasis (ICD-10 B66.3) in SOAP Notes

Subjective:

• Patient reports right upper quadrant abdominal pain.
• History of consuming undercooked water plants.
• Complaints of jaundice and dark urine.
• Fever and chills noted over the past week.

Objective:

• Vital signs: Fever of 101°F, tachycardia.
• Physical exam: Hepatomegaly on palpation.
• Laboratory findings: Elevated liver enzymes (ALT, AST).
• Imaging: Ultrasound shows biliary duct dilation.

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SOAP Note Guidelines for Diagnosing Fascioliasis (ICD-10 Code B66.3)

Assessment:

• Diagnosis: Fascioliasis, moderate severity.
• ICD-10 Code: B66.3.
• Contributing factors: Recent travel to endemic areas.
• Symptoms consistent with biliary obstruction.

Plan:

• Initiate treatment with Triclabendazole.
• Provide patient education on dietary restrictions.
• Schedule follow-up in one week to monitor liver function.
• Consider referral to a gastroenterologist if symptoms persist.

Treatment & Plan Section for ICD-10 Code B66.3 – Fascioliasis

• First-line treatment with Triclabendazole.
• Monitor liver function tests regularly.
• Educate on avoiding contaminated food and water.
• Follow-up appointments to assess treatment efficacy.

Using ICD-10 Code B66.3 for Fascioliasis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history.
• Use B66.3 in conjunction with relevant procedure codes.
• Document all assessments and treatment plans clearly.
• Align treatment plans with clinical guidelines for billing justification.

Related ICD-10 Codes Often Used with Fascioliasis

• B66.0 – Fascioliasis due to Fasciola hepatica
• B66.1 – Fascioliasis due to Fasciola gigantica

ICD-10 Code B66.3 in Medical Billing and Insurance for Fascioliasis

ICD-10 Code B66.3 is critical for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and symptoms.
• Use B66.3 in conjunction with diagnostic tests performed.
• Ensure clarity in treatment plans to support claims.
• Include follow-up care details in documentation.

Common CPT Pairings: