ICD-10 Coding for Yeast Infection(B37.3, B37.0, B37.9)
Complete ICD-10-CM coding and documentation guide for Yeast Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Yeast Infection
B37Primary Range
Candidiasis
This range includes all forms of candidiasis, including oral, vulvovaginal, and unspecified sites.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B37.3 | Candidiasis of vulva and vagina | Use when both vulvar and vaginal involvement are documented. |
|
| B37.0 | Candidiasis of mouth | Use when oral thrush is confirmed by clinical and lab findings. |
|
| B37.9 | Candidiasis, unspecified | Use only when the site of candidiasis is not documented. |
|
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 yeast infection
Essential facts and insights about Yeast Infection
Primary ICD-10-CM Codes for yeast infection
Decision Criteria
clinical Criteria
- Documented vulvar and vaginal involvement with positive lab findings.
Applicable To
- Vulvovaginal candidiasis
Excludes
- Candidiasis of other sites
Clinical Validation Requirements
- Positive KOH prep showing budding yeast
- Thick white vaginal discharge
- Vulvar erythema
Code-Specific Risks
- Incorrect use when site is not specified
Coding Notes
- Ensure documentation specifies both vulvar and vaginal involvement.
B37.0 - Candidiasis of mouth
Use when oral thrush is confirmed by clinical and lab findings.
Applicable To
- Oral thrush
Excludes
- Candidiasis of other sites
Clinical Validation Requirements
- Pseudomembranous plaques on buccal mucosa
- Positive fungal smear
Coding Notes
Ensure lab confirmation of oral candidiasis.
B37.9 - Candidiasis, unspecified
Use only when the site of candidiasis is not documented.
Applicable To
- Unspecified site candidiasis
Excludes
- Specific site candidiasis
Clinical Validation Requirements
- General symptoms without specific site documentation
Coding Notes
Avoid use if specific site is documented.
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 Yeast Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.3.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Increases risk of audit., Financial: Potential for denied claims.
Mitigation Strategy
Ensure thorough documentation of site., Use lab tests to confirm diagnosis.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and compliance issues., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure specific site is documented and use the appropriate code.
Impact
Use of unspecified codes increases audit risk.
Mitigation Strategy
Document specific site and use appropriate code.
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 Yeast Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Yeast Infection
Use these documentation templates to ensure complete and accurate documentation for Yeast Infection. These templates include all required elements for proper coding and billing.
Vulvovaginal Candidiasis
Specialty: GynecologyRequired Elements
- Patient history
- Physical examination findings
- Lab results
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Yeast Infection? Ask your questions below.