ICD-10 Coding for Vaginal Candidiasis(B37.31, B37.32)
Complete ICD-10-CM coding and documentation guide for Vaginal Candidiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Candidiasis
B37.3-B37.32Primary Range
Candidiasis of vulva and vagina
This range includes specific codes for acute and chronic vaginal candidiasis, which are essential for accurate diagnosis and billing.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B37.31 | Acute candidiasis of vulva and vagina | Use for first-time or acute presentations of vulvovaginal candidiasis with confirmed laboratory findings. |
|
| B37.32 | Chronic candidiasis of vulva and vagina | Use for recurrent cases with documented frequency and laboratory confirmation of non-albicans species. |
|
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 acute vaginal candidiasis
Essential facts and insights about Vaginal Candidiasis
Primary ICD-10-CM Codes for vaginal candidiasis
Decision Criteria
clinical Criteria
- Presence of pseudohyphae on KOH wet mount
Applicable To
- Acute vulvovaginal candidiasis
Excludes
- Chronic candidiasis of vulva and vagina (B37.32)
Clinical Validation Requirements
- Positive KOH wet mount with pseudohyphae
- Symptoms such as pruritus and erythema
Code-Specific Risks
- Incorrectly coding chronic cases as acute
Coding Notes
- Ensure documentation specifies acute presentation with laboratory confirmation.
B37.32 - Chronic candidiasis of vulva and vagina
Use for recurrent cases with documented frequency and laboratory confirmation of non-albicans species.
Applicable To
- Chronic vulvovaginal candidiasis
Excludes
- Acute candidiasis of vulva and vagina (B37.31)
Clinical Validation Requirements
- Recurrent episodes (≥3 per year)
- Culture confirming non-albicans species
Coding Notes
Documentation must include recurrence and species identification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified bacterial agents as the cause of diseases classified elsewhere
B96.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Candidiasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.31.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Train staff on documentation requirements, Use templates that prompt for specific details
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting patient records and statistics.
Mitigation Strategy
Always specify whether the case is acute or chronic and use the appropriate code.
Impact
Using B37.3 instead of specific codes can trigger audits.
Mitigation Strategy
Ensure documentation supports specific code selection.
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 Vaginal Candidiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Candidiasis
Use these documentation templates to ensure complete and accurate documentation for Vaginal Candidiasis. These templates include all required elements for proper coding and billing.
Acute Vulvovaginal Candidiasis
Specialty: OB/GYNRequired Elements
- Patient symptoms
- Laboratory test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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