ICD-10-CM Billable Code

B66.5

Fasciolopsiasis

Clinical Classification Guidelines

Inclusion Terms

  • Infection due to Fasciolopsis buski
  • Intestinal distomiasis

Medical Intelligence & Overview

Fasciolopsiasis is a parasitic infection caused by the intestinal fluke Fasciolopsis buski. This condition affects individuals who ingest contaminated food or water containing the parasite's larvae. Commonly found in parts of Asia where raw freshwater aquatic plants are consumed, fasciolopsiasis can lead to various gastrointestinal symptoms. Recognizing the signs, causes, and methods of diagnosis can help manage this parasitic disease effectively.

Causes & Symptoms

Clinical Causes: Consuming raw or undercooked freshwater snails, aquatic plants, or contaminated vegetables. Drinking water contaminated with parasite eggs or larvae. Poor sanitation practices that facilitate the spread of parasite eggs into water sources.

Key Symptoms: Abdominal pain or discomfort Diarrhea or frequent bowel movements Nausea and vomiting Loss of appetite Swelling or inflammation of the intestinal lining In severe cases, intestinal obstruction or ulceration

Diagnostic & Treatment

Diagnosis Path: Diagnosis of fasciolopsiasis typically involves a combination of medical history, physical examination, and laboratory tests. The most common method is stool analysis to identify parasite eggs. Sometimes, endoscopy may be performed to visualize the worms directly. Healthcare providers may also request blood tests to detect immune responses against the parasite or signs of inflammation. Accurate diagnosis is essential to determine the appropriate treatment plan.

Treatment Protocols: Treatment usually involves antiparasitic medications such as praziquantel, which effectively targets Fasciolopsis buski. In some cases, additional supportive care, including fluids and rest, may be recommended to alleviate symptoms. Proper sanitation and avoiding the ingestion of contaminated water or food are crucial preventive measures. In severe cases with complications like intestinal blockage, surgical intervention may be necessary.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is B66.5 a billable ICD-10 code?
Yes, B66.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report B66.5?
Clinical documentation must specify the nature of Fasciolopsiasis and any associated comorbidities for accurate reporting.

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