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2025 ICD-10-CM code B65

Schistosomiasis[bilharziasis]. Includes: snail fever.

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Schistosomiasis complicating pregnancy, childbirth, and the puerperium (O98.-) and schistosomiasis specific to the perinatal period (P35-P39) should be coded separately.Do not use this code for carrier status or suspected carrier of infectious disease (Z22.-).

Medical necessity for schistosomiasis treatment is established by the confirmed diagnosis through laboratory tests demonstrating the presence of infection.

Clinicians diagnose schistosomiasis based on patient history, physical examination, and laboratory tests such as stool and urine analysis for parasite eggs, and blood tests for antibodies or antigens.Treatment typically involves praziquantel. Patient education focuses on preventive measures like avoiding contact with contaminated water and ensuring safe drinking water practices.

In simple words: Schistosomiasis, also called "snail fever" or "bilharzia," is an infection caused by a parasitic worm found in certain freshwater sources. It's common in parts of Africa, South America, the Caribbean, the Middle East, and Asia. When you come into contact with contaminated water, the tiny worms can burrow into your skin. Once inside, they travel to your blood vessels and organs like the liver and intestines where they lay eggs. This can cause various symptoms, and if left untreated, can lead to long-term health issues.

Schistosomiasis, also known as bilharzia, is a parasitic disease caused by blood flukes (trematode worms) of the genus Schistosoma.It is transmitted through contact with contaminated fresh water inhabited by infected snails. The infection can manifest in intestinal and urogenital forms, causing a range of symptoms including abdominal pain, diarrhea, blood in stool or urine, and in chronic cases, organ damage.

Example 1: A traveler returning from a trip to Africa presents with fever, cough, and an itchy rash.Stool examination reveals Schistosoma mansoni eggs, confirming a diagnosis of intestinal schistosomiasis., A child living in a rural area with poor sanitation develops blood in urine and bladder irritation.Microscopic examination of the urine confirms the presence of Schistosoma haematobium eggs, indicating urogenital schistosomiasis., A patient with a long-standing, untreated schistosomiasis infection presents with enlarged liver and spleen, indicating chronic schistosomiasis and potential organ damage.

Documentation should include details of patient history (including travel history and potential exposure to contaminated fresh water), physical findings, and laboratory results confirming the presence of Schistosoma eggs or antibodies/antigens. For chronic cases, documentation of organ involvement or complications is crucial.

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