2025 ICD-10-CM code B65.0
(Active) Effective Date: N/A Infectious and parasitic diseases - Helminthiases (B65-B83) Certain infectious and parasitic diseases (A00-B99) Feed
Schistosomiasis due to Schistosoma haematobium (urinary schistosomiasis).
Medical necessity for testing and treatment is established by documented signs and symptoms suggestive of schistosomiasis, particularly in individuals with a history of potential exposure in endemic areas. Confirmation is typically through laboratory findings demonstrating the presence of the parasite or its effects.
Clinicians should diagnose based on patient history of exposure, signs, and symptoms, including blood in urine, bladder/ureter inflammation, and difficulty urinating. Laboratory tests of urine and blood can confirm the presence of parasite eggs, antigens, or antibodies. Treatment primarily involves praziquantel. Patient education on avoiding contaminated water is crucial.
In simple words: This is a parasitic infection caused by the Schistosoma haematobium fluke, which lives in certain types of freshwater snails. When people come into contact with contaminated water, the parasite can penetrate their skin and cause infection, primarily affecting the urinary system. Symptoms may include blood in the urine, bladder problems, and other related complications.
This code represents schistosomiasis specifically caused by the parasite Schistosoma haematobium. This species primarily affects the urinary tract and is often referred to as urinary schistosomiasis.Symptoms can range from blood in the urine to bladder inflammation and scarring, with potential long-term complications such as kidney damage, bladder cancer, and infertility.
Example 1: A 30-year-old individual presents with blood in their urine and painful urination after a recent trip to Africa where they swam in a freshwater lake. Urine tests reveal Schistosoma haematobium eggs, confirming the diagnosis of schistosomiasis., A patient with a history of recurrent urinary tract infections and recent travel to an endemic area presents with persistent hematuria. After excluding other causes, a urine filtration test confirms the presence of Schistosoma haematobium eggs., A woman experiences genital lesions, vaginal bleeding, and painful intercourse after exposure to contaminated water.Further investigation reveals infection with Schistosoma haematobium.
Documentation should include patient history (especially travel to endemic areas and freshwater exposure), presenting symptoms (hematuria, dysuria, genital lesions, etc.), laboratory findings (urine microscopy, blood tests for antigens/antibodies), and treatment administered (praziquantel dosage and duration).
- Specialties:Infectious Disease, Urology, Internal Medicine, Family Medicine, Travel Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Independent Clinic, Public Health Clinic