A06.4
A06.4: Amebic liver abscess
Billable / specific codeICD-10-CM
A06.4 is a billable, specific ICD-10-CM code for amebic liver abscess. It is valid for submission on a claim.
Check A06.4 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hepatic amebiasis
Excludes1 inherited from the categories above A06.4
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above A06.4
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with A06.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K75.0Abscess of liver
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A06.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Abscess›amebic
- Ameba, amebic›abscess(liver)
- Dysentery, dysenteric›abscess, liver
- Abscess›amebic›liver(without mention of brain or lung abscess)
- Abscess›hepatic›amebic
- Abscess›liver›amebic(due to Entamoeba histolytica) (dysenteric) (tropical)
Code history
Unchanged in every release from FY2024 to FY2027.