ICD-10 Coding for Candida Albicans Infection(B37.82, B37.0)
Complete ICD-10-CM coding and documentation guide for Candida Albicans Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Candida Albicans Infection
B37.0-B37.9Primary Range
Candidiasis
This range includes codes for various forms of candidiasis, including those caused by Candida albicans.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B37.82 | Candidiasis due to Candida albicans | Use when Candida albicans is confirmed as the causative organism. |
|
| B37.0 | Candidal stomatitis | Use as a primary code for oral involvement. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Candida albicans
Essential facts and insights about Candida Albicans Infection
Primary ICD-10-CM Codes for candida albicans
Decision Criteria
clinical Criteria
- Laboratory confirmation of Candida albicans
coding Criteria
- Presence of site-specific candidiasis code
Applicable To
- Candida albicans infection
Excludes
- Candidiasis due to other specified Candida species
Clinical Validation Requirements
- Laboratory confirmation of Candida albicans
- Nucleic acid amplification tests (e.g., TMA, PCR)
Code-Specific Risks
- Risk of using unspecified codes when species is known.
Coding Notes
- Always sequence the site-specific code before B37.82.
B37.0 - Candidal stomatitis
Use as a primary code for oral involvement.
Applicable To
- Oral thrush
Excludes
- Candidiasis of other sites
Clinical Validation Requirements
- Clinical diagnosis of oral thrush
- Microscopy or KOH prep showing yeast
Coding Notes
Ensure documentation specifies oral involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Candida Albicans Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.82.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for audit and reimbursement issues.
Mitigation Strategy
Ensure lab results are reviewed and documented., Educate providers on the importance of species identification.
Impact
Reimbursement: Potential for lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on infection specifics.
Mitigation Strategy
Use B37.82 with a site-specific code.
Impact
Risk of using unspecified codes when species is known.
Mitigation Strategy
Ensure lab confirmation is documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Candida Albicans Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candida Albicans Infection
Use these documentation templates to ensure complete and accurate documentation for Candida Albicans Infection. These templates include all required elements for proper coding and billing.
Candida albicans infection with oral involvement
Specialty: Infectious DiseaseRequired Elements
- Site of infection
- Species confirmation
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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