A06.4
BillableAmebic 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