ICD-10 Coding for Vaginal Yeast Infection(B37.31, B37.32)
Complete ICD-10-CM coding and documentation guide for Vaginal Yeast Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Yeast Infection
B37.3-B37.32Primary Range
Candidiasis of vulva and vagina
This range includes codes for acute and chronic vulvovaginal candidiasis, which are the primary conditions associated with vaginal yeast infections.
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 when there is confirmed acute vulvovaginal candidiasis with lab and clinical evidence. |
|
| B37.32 | Chronic candidiasis of vulva and vagina | Use for chronic or recurrent infections with documented recurrence pattern. |
|
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 vaginal yeast infection
Essential facts and insights about Vaginal Yeast Infection
Primary ICD-10-CM Codes for vaginal yeast infection
Decision Criteria
clinical Criteria
- Presence of acute symptoms and positive lab results
Applicable To
- Acute vulvovaginal candidiasis
Excludes
- Chronic candidiasis of vulva and vagina (B37.32)
Clinical Validation Requirements
- Positive KOH microscopy showing budding yeast and pseudohyphae
- Clinical symptoms such as itching and discharge
Code-Specific Risks
- Incorrectly coding as chronic when acute is documented
Coding Notes
- Ensure documentation specifies 'acute' and includes lab confirmation.
B37.32 - Chronic candidiasis of vulva and vagina
Use for chronic or recurrent infections with documented recurrence pattern.
Applicable To
- Chronic vulvovaginal candidiasis
Excludes
- Acute candidiasis of vulva and vagina (B37.31)
Clinical Validation Requirements
- Documented history of recurrent infections (≥4 episodes/year)
- Clinical symptoms consistent with chronicity
Coding Notes
Ensure documentation specifies 'chronic' and includes recurrence details.
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 Vaginal Yeast Infection 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., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Use specific terms like 'acute candidiasis', Ensure lab confirmation is documented
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and statistics.
Mitigation Strategy
Re-code as B37.31 or B37.32 based on acuity and chronicity.
Impact
Using non-specific codes when specific codes are available.
Mitigation Strategy
Educate providers on new code updates and documentation requirements.
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 Yeast Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Yeast Infection
Use these documentation templates to ensure complete and accurate documentation for Vaginal Yeast Infection. These templates include all required elements for proper coding and billing.
Acute Vaginal Yeast Infection
Specialty: GynecologyRequired Elements
- Patient history
- Clinical symptoms
- Lab results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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