ICD-10 Coding for Tinea Versicolor(B36.0)
Complete ICD-10-CM coding and documentation guide for Tinea Versicolor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tinea Versicolor
Key Information: ICD-10 code for tinea versicolor
Essential facts and insights about Tinea Versicolor
Primary ICD-10-CM Code for tinea versicolor
Decision Criteria
clinical Criteria
- Presence of hypopigmented or hyperpigmented macules with fine scaling.
coding Criteria
- Documented confirmation of tinea versicolor via KOH prep or Wood's lamp.
documentation Criteria
- Specific mention of tinea versicolor or pityriasis versicolor in the medical record.
Applicable To
- Tinea versicolor
- Tinea flava
- Tinea alba
Clinical Validation Requirements
- KOH prep showing 'spaghetti and meatballs' appearance
- Wood's lamp fluorescence showing copper-orange
- Biopsy with PAS stain showing fungal elements
Code-Specific Risks
- Incorrectly using B36.9 for unspecified mycoses when tinea versicolor is documented.
Coding Notes
- Always sequence B36.0 first when coding for tinea versicolor.
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 Tinea Versicolor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B36.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or incorrect billing.
Mitigation Strategy
Educate providers on the importance of specific terminology.
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always use B36.0 when tinea versicolor is confirmed.
Impact
Using B36.9 instead of B36.0 for documented tinea versicolor.
Mitigation Strategy
Regular training and audits to ensure correct code usage.
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 Tinea Versicolor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tinea Versicolor
Use these documentation templates to ensure complete and accurate documentation for Tinea Versicolor. These templates include all required elements for proper coding and billing.
Dermatology Progress Note
Specialty: DermatologyRequired Elements
- History of Present Illness
- Physical Exam Findings
- Diagnostic Studies
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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