ICD-10 Coding for Skin Candidiasis(B37.2, B37.89)
Complete ICD-10-CM coding and documentation guide for Skin Candidiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Skin Candidiasis
B37.2Primary Range
Candidiasis of skin and nail
Primary code for skin and nail candidiasis, used when Candida infection is confirmed.
Other sites of candidiasis
Used for candidiasis in areas not covered by B37.2, such as intertrigo.
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 or nail beds. |
|
| B37.89 | Other sites of candidiasis | Use for candidiasis in areas not covered by B37.2. |
|
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 skin candidiasis
Essential facts and insights about Skin Candidiasis
Primary ICD-10-CM Codes for skin candidiasis
Decision Criteria
clinical Criteria
- Candida spp. identified by KOH or culture
Applicable To
- Candidal intertrigo
- Candidal onychia
Excludes
- Neonatal candidiasis (P37.5)
Clinical Validation Requirements
- KOH prep positive for pseudohyphae
- Candida albicans isolated via fungal culture
Code-Specific Risks
- Risk of undercoding if not confirmed by lab tests.
Coding Notes
- Ensure documentation specifies Candida confirmation and lesion location.
B37.89 - Other sites of candidiasis
Use for candidiasis in areas not covered by B37.2.
Applicable To
- Candidal intertrigo
Excludes
- Candidiasis of skin and nail (B37.2)
Clinical Validation Requirements
- Clinical diagnosis of candidal infection in non-skin/nail areas.
Coding Notes
Ensure correct site documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Resistance to azole antifungals
Z16.12Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Skin Candidiasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.2.
Impact
Clinical: Leads to non-specific diagnosis., Regulatory: Potential audit flags., Financial: May affect reimbursement rates.
Mitigation Strategy
Verify lab results before coding.
Impact
Reimbursement: May lead to incorrect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always add B37.2 when Candida is confirmed.
Impact
Failure to confirm Candida leads to unspecified coding.
Mitigation Strategy
Require lab confirmation before final coding.
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 Skin Candidiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Skin Candidiasis
Use these documentation templates to ensure complete and accurate documentation for Skin Candidiasis. These templates include all required elements for proper coding and billing.
Candidiasis in diabetic foot ulcer
Specialty: PodiatryRequired Elements
- Lesion description
- KOH test results
- Culture results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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