B67.69 ICD-10-CM Code: Echinococcus multilocularis infection, other sites
HCC Buddy Code Card
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Helminthiases (B65-B83)
B67.69
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceEchinococcus multilocularis infection, other sites
A parasitic infection caused by the multilocularis tapeworm species affecting body sites other than the liver, such as the lungs, brain, or other organs.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for B67.69 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for B67.69 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for B67.69 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for B67.69 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for B67.69 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for B67.69 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for B67.69 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is B67.69 an HCC code?
No. B67.69 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- B67.69
- Description
- Echinococcus multilocularis infection, other sites
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
B67.69 is the ICD-10-CM diagnosis code for echinococcus multilocularis infection, other sites. A parasitic infection caused by the multilocularis tapeworm species affecting body sites other than the liver, such as the lungs, brain, or other organs. B67.69 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering helminthiases (b65-b83).
B67.69 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Specify the exact site of infection in clinical documentation for clarity and appropriate treatment.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for B67.69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Specify the exact site of infection in clinical documentation for clarity and appropriate treatment
- •Use when multilocularis infection occurs in sites not covered by more specific codes