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ICD-10 Code B67.5 | Echinococcus multilocularis infection of liver Symptoms, Diagnosis, Billing

Echinococcus multilocularis infection of the liver is a parasitic disease caused by the larval stage of the Echinococcus multilocularis tapeworm. This infection is clinically significant due to its potential to cause severe liver damage and complications, including biliary obstruction and secondary infections. Accurate coding with ICD-10 Code B67.5 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B67.5 for Echinococcus multilocularis infection of liver?

ICD-10 Code B67.5 specifically represents Echinococcus multilocularis infection of the liver, a serious condition resulting from the ingestion of eggs from the Echinococcus multilocularis tapeworm. This code should be used in clinical documentation and billing when a patient presents with symptoms indicative of this infection, such as abdominal pain, jaundice, or hepatomegaly, and when diagnostic imaging confirms the presence of liver lesions.

ICD-10 Code B67.5 – Clinical Definition and Explanation of Echinococcus multilocularis infection of liver

Echinococcus multilocularis infection of the liver is caused by the larval form of the Echinococcus multilocularis tapeworm, primarily transmitted through contact with infected canines or contaminated food and water. The infection can progress to form multilocular cysts in the liver, leading to significant morbidity and requiring prompt medical intervention.

Key Clinical Features:

  • Abdominal pain, particularly in the right upper quadrant.
  • Jaundice due to biliary obstruction.
  • Hepatomegaly or palpable liver mass.
  • Potential for secondary bacterial infections.

ICD-10 Code B67.5 for Echinococcus multilocularis infection of liver – SOAP Notes & Clinical Use

ICD-10 Code B67.5 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for Echinococcus multilocularis infection of the liver. This code is relevant in both acute and chronic care settings, facilitating accurate communication among healthcare providers and ensuring appropriate management of the condition.

What Does ICD-10 Code B67.5 for Echinococcus multilocularis infection of liver Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B67.5 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Echinococcus multilocularis infection of the liver. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B67.5 – Echinococcus multilocularis infection of liver

Echinococcus multilocularis infection of the liver requires urgent medical attention, often necessitating hospitalization for management. Treatment typically involves antiparasitic therapy and supportive care.

Antibiotic Therapy:

  • Albendazole: 10-15 mg/kg/day for 28 days.
  • Praziquantel: 25 mg/kg three times daily for 14 days.
  • Alternative: Mebendazole may be considered in specific cases.

Supportive Care:

  • Pain management with analgesics.
  • Nutritional support as needed.
  • Monitoring for complications such as biliary obstruction.

Infection Control:

  • Strict hygiene practices to prevent transmission.
  • Education on avoiding contact with infected animals.
  • Surveillance in endemic areas to monitor outbreaks.

How to Document Symptoms of Echinococcus multilocularis infection of liver (ICD-10 B67.5) in SOAP Notes

Subjective:

  • Patient reports persistent right upper quadrant abdominal pain.
  • History of exposure to infected animals or contaminated food.
  • Complaints of jaundice and dark urine.
  • Nausea and loss of appetite noted.

Objective:

  • Physical examination reveals hepatomegaly.
  • Laboratory tests show elevated liver enzymes (ALT, AST).
  • Imaging studies (ultrasound/CT) demonstrate multilocular cysts in the liver.
  • Vital signs stable, no fever present.
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SOAP Note Guidelines for Diagnosing Echinococcus multilocularis infection of liver (ICD-10 Code B67.5)

Assessment:

  • Diagnosis: Echinococcus multilocularis infection of liver, moderate severity.
  • ICD-10 Code: B67.5.
  • Contributing factors: Recent travel to endemic areas, exposure to infected animals.
  • Symptoms consistent with biliary obstruction.

Plan:

  • Initiate treatment with albendazole 10 mg/kg/day for 28 days.
  • Provide education on hygiene and prevention of transmission.
  • Schedule follow-up imaging to assess treatment response.
  • Monitor liver function tests weekly.

Treatment & Plan Section for ICD-10 Code B67.5 – Echinococcus multilocularis infection of liver

  • First-line treatment with albendazole or praziquantel.
  • Supportive care including pain management and nutritional support.
  • Regular monitoring of liver function and imaging studies.
  • Patient education on prevention and hygiene practices.

Using ICD-10 Code B67.5 for Echinococcus multilocularis infection of liver in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
  • Use B67.5 in conjunction with relevant CPT codes for billing.
  • Maintain compliance with clinical guidelines for treatment and documentation.
  • Document any complications or comorbidities that may affect billing.

ICD-10 Code B67.5 in Medical Billing and Insurance for Echinococcus multilocularis infection of liver

ICD-10 Code B67.5 is critical for accurate billing in hospital, ER, or infectious disease care settings, ensuring proper reimbursement for services rendered.

Billing Notes:

  • Document all relevant clinical findings and treatment plans to support the claim.
  • Use B67.5 in the appropriate clinical context to avoid claim denials.
  • Ensure that all documentation aligns with coding guidelines for infectious diseases.
  • Include patient history and exposure risks in the medical record.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
74176CT abdomen with contrast, for evaluation of liver lesions.
36415Collection of venous blood by venipuncture.
85025Complete blood count with automated differential.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B67.5 for Echinococcus multilocularis infection of liver

What are the common symptoms of Echinococcus multilocularis infection of the liver?

Common symptoms include abdominal pain, jaundice, hepatomegaly, and nausea. Patients may also experience weight loss and fatigue as the infection progresses.

How is Echinococcus multilocularis infection diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or CT scans to identify liver lesions, along with serological tests to detect specific antibodies against the parasite.

What is the treatment for Echinococcus multilocularis infection?

Treatment usually involves antiparasitic medications like albendazole or praziquantel, along with supportive care to manage symptoms and monitor for complications.

Is Echinococcus multilocularis infection contagious?

Echinococcus multilocularis infection is not directly contagious between humans; however, it can be transmitted through contact with infected animals or contaminated food and water.

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