ICD-10 Coding for Candida Intertrigo(B37.2, L30.4)
Complete ICD-10-CM coding and documentation guide for Candida Intertrigo. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Candida Intertrigo
B37-B37.9Primary Range
Candidiasis
This range includes all forms of candidiasis, with B37.2 specifically for candidiasis of skin and nail, which is applicable to candidal intertrigo.
Other Dermatitis
This range includes L30.4 for erythema intertrigo, which can be used as an ancillary code if non-infectious intertrigo is present.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B37.2 | Candidiasis of skin and nail | Use when Candida infection is confirmed in skin folds. |
|
| L30.4 | Erythema intertrigo | Use when intertrigo is present without confirmed infection. |
|
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 intertrigo
Essential facts and insights about Candida Intertrigo
Primary ICD-10-CM Codes for candida intertrigo
Decision Criteria
clinical Criteria
- Presence of satellite pustules and positive KOH prep
documentation Criteria
- Documented confirmation of Candida species
Applicable To
- Candidal onychia
- Candidal paronychia
Clinical Validation Requirements
- KOH prep showing pseudohyphae
- Culture confirming Candida species
- Presence of satellite pustules
Code-Specific Risks
- Misclassification if Candida is not confirmed
- Potential denial if used without proper documentation
Coding Notes
- Ensure documentation specifies Candida confirmation.
L30.4 - Erythema intertrigo
Use when intertrigo is present without confirmed infection.
Excludes
- Candidiasis of skin (B37.2)
Clinical Validation Requirements
- Clinical diagnosis of intertrigo without infection
Coding Notes
Use as secondary to B37.2 if both conditions are present.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erythema intertrigo
L30.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Candida Intertrigo to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.2.
Impact
Clinical: Misdiagnosis of the condition, Regulatory: Non-compliance with ICD-10 coding rules, Financial: Potential claim denials
Mitigation Strategy
Always confirm and document Candida presence
Impact
Reimbursement: Claim denial due to incorrect coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure B37.2 is used when Candida infection is confirmed.
Impact
Using L30.4 instead of B37.2 when Candida is present
Mitigation Strategy
Educate providers on the importance of confirming and documenting Candida infection.
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 Intertrigo, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candida Intertrigo
Use these documentation templates to ensure complete and accurate documentation for Candida Intertrigo. These templates include all required elements for proper coding and billing.
Candidal Intertrigo in Obese Patient
Specialty: DermatologyRequired Elements
- Location of rash
- Presence of satellite pustules
- KOH prep results
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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