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A06.4

Billable

Amebic liver abscess

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A liver abscess (a collection of pus in the liver) caused by a parasitic infection from Entamoeba histolytica, a microscopic organism typically acquired through contaminated food or water. This is a serious complication of amebic infection that requires medical treatment.

Coding Tips

  • Verify documentation confirms amebic etiology (caused by Entamoeba histolytica) rather than other causes of liver abscess, as this distinction is critical for accurate coding
  • Ensure the abscess is specifically documented as hepatic/liver involvement; if amebic infection affects other sites (intestine, lung, etc.), those would require separate codes

Code Hierarchy

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