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ICD-10 Coding for Yeast Vaginitis(B37.31, B37.32)

Complete ICD-10-CM coding and documentation guide for Yeast Vaginitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Candidal VulvovaginitisVulvovaginal CandidiasisYeast Infection

Related ICD-10 Code Ranges

Complete code families applicable to Yeast Vaginitis

B37.3-B37.32Primary Range

Candidiasis of vulva and vagina

This range includes codes for acute and chronic candidiasis of the vulva and vagina, which are the primary conditions associated with yeast vaginitis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
B37.31Acute candidiasis of vulva and vaginaUse for first-time or isolated episodes with acute onset and no recurrence history.
  • Acute onset of symptoms
  • Positive KOH wet mount showing pseudohyphae
  • Vaginal pH ≤4.5
B37.32Chronic candidiasis of vulva and vaginaUse for chronic conditions with documented recurrence and treatment resistance.
  • Recurrent episodes (≥4 in 12 months)
  • Documented treatment failures
  • Positive cultures for Candida 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 yeast vaginitis

Essential facts and insights about Yeast Vaginitis

The ICD-10 code for acute yeast vaginitis is B37.31, and for chronic yeast vaginitis, it is B37.32.

Primary ICD-10-CM Codes for yeast vaginitis

Acute candidiasis of vulva and vagina
Billable Code

Decision Criteria

clinical Criteria

  • Acute onset with no prior episodes in the past year.

Applicable To

  • Acute vulvovaginal candidiasis

Excludes

  • Chronic candidiasis of vulva and vagina (B37.32)

Clinical Validation Requirements

  • Acute onset of symptoms
  • Positive KOH wet mount showing pseudohyphae
  • Vaginal pH ≤4.5

Code-Specific Risks

  • Misclassification as chronic if recurrence is not documented.

Coding Notes

  • Ensure documentation specifies 'acute' to avoid denials.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Vulvar pruritus

L29.2
Use when severe itching is documented as interfering with daily activities.

Long-term antifungal use

Z79.899
Use when patient is on suppressive fluconazole therapy.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Acute vaginitis

N76.0
Use if bacterial vaginosis is confirmed with positive amine test and clue cells.

Trichomoniasis

A59.01
Requires documentation of motile trichomonads on saline wet mount.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Yeast Vaginitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.31.

Impact

Clinical: Misclassification of condition severity., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Review patient history for recurrence, Document all treatment attempts

Impact

Reimbursement: Claims may be denied if outdated codes are used., Compliance: Non-compliance with updated ICD-10 guidelines., Data Quality: Inaccurate data reporting and tracking.

Mitigation Strategy

Use B37.31 for acute and B37.32 for chronic cases.

Impact

Failure to document chronicity can lead to audit issues.

Mitigation Strategy

Ensure detailed documentation of recurrence and treatment history.

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 Vaginitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Yeast Vaginitis

Use these documentation templates to ensure complete and accurate documentation for Yeast Vaginitis. These templates include all required elements for proper coding and billing.

Chronic Yeast Vaginitis

Specialty: OB/GYN

Required Elements

  • Onset and duration of symptoms
  • Number of episodes in past year
  • Treatment history
  • Diagnostic test results

Example Documentation

Patient presents with chronic vulvovaginal candidiasis, experiencing 5 episodes in the past year. Previous treatments include fluconazole with partial response. KOH prep positive for Candida.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has yeast infection. Treat with cream.
Good Documentation Example
Patient has chronic vulvovaginal candidiasis with 5 episodes in past year, confirmed by positive KOH prep. Plan: long-term fluconazole therapy.
Explanation
The good example provides specific details about chronicity and diagnostic confirmation, supporting the use of B37.32.

Need help with ICD-10 coding for Yeast Vaginitis? Ask your questions below.

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