ICD-10 Coding for Esophageal Candidiasis(B37.81)
Complete ICD-10-CM coding and documentation guide for Esophageal Candidiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Esophageal Candidiasis
B37.0-B37.9Primary Range
Candidiasis
This range includes all forms of candidiasis, with B37.81 specifically for esophageal involvement.
Key Information: ICD-10 code for esophageal candidiasis
Essential facts and insights about Esophageal Candidiasis
Primary ICD-10-CM Code for esophageal candidiasis
Decision Criteria
clinical Criteria
- Presence of white plaques on endoscopy
documentation Criteria
- Biopsy confirmation of Candida
Applicable To
- Esophageal candidiasis
Excludes
- Oral candidiasis (B37.0)
Clinical Validation Requirements
- Endoscopic findings of white plaques
- Biopsy confirmation of Candida hyphae
- Symptoms such as odynophagia
Code-Specific Risks
- Incorrectly coding as unspecified candidiasis (B37.9) when esophageal involvement is confirmed.
Coding Notes
- Ensure documentation specifies esophageal involvement and confirmatory tests.
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 Esophageal Candidiasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.81.
Impact
Clinical: Leads to potential misdiagnosis., Regulatory: Fails to meet documentation standards., Financial: May result in claim denials.
Mitigation Strategy
Ensure detailed documentation of endoscopic findings., Include biopsy results when available.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always use B37.81 if esophageal involvement is confirmed.
Impact
Coding B37.81 without endoscopic or biopsy confirmation.
Mitigation Strategy
Require documentation of endoscopic findings and biopsy results.
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 Esophageal Candidiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Esophageal Candidiasis
Use these documentation templates to ensure complete and accurate documentation for Esophageal Candidiasis. These templates include all required elements for proper coding and billing.
HIV patient with esophageal candidiasis
Specialty: GastroenterologyRequired Elements
- Symptoms: odynophagia, dysphagia
- Endoscopic findings: white plaques
- Biopsy results: Candida hyphae
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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