ICD-10 Coding for Candida Dermatitis(B37.2, L22)
Complete ICD-10-CM coding and documentation guide for Candida Dermatitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Candida Dermatitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B37.2 | Candidiasis of skin and nail | Use when Candida is confirmed as the causative organism of a skin infection. |
|
| L22 | Diaper dermatitis | Use when diaper rash is present without confirmed Candida infection. |
|
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: How do you code Candida diaper rash?
Essential facts and insights about Candida Dermatitis
Primary ICD-10-CM Codes for candida dermatitis
Decision Criteria
clinical Criteria
- Presence of erythematous plaques with satellite pustules
coding Criteria
- Confirmed Candida infection via KOH or culture
Applicable To
- Candidal intertrigo
- Yeast infection of skin
Excludes
- Neonatal candidiasis (P37.5)
Clinical Validation Requirements
- KOH prep positive for pseudohyphae or budding yeast
- Fungal culture confirming Candida species
Code-Specific Risks
- Misclassification if Candida is not confirmed
- Incorrect sequencing with L22
Coding Notes
- Ensure Candida is confirmed via lab tests before coding.
L22 - Diaper dermatitis
Use when diaper rash is present without confirmed Candida infection.
Excludes
- Candidiasis of skin (B37.2)
Clinical Validation Requirements
- Clinical diagnosis of diaper rash without fungal confirmation
Coding Notes
Document irritant vs. fungal causes clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Diaper dermatitis
L22Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Candida Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.2.
Impact
Clinical: May lead to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Include specific anatomical locations., Detail clinical appearance and test results.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Pair B37.2 with L22 when Candida is confirmed.
Impact
Using L22 as primary when Candida is present.
Mitigation Strategy
Educate coders on correct sequencing rules.
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 Candida Dermatitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candida Dermatitis
Use these documentation templates to ensure complete and accurate documentation for Candida Dermatitis. These templates include all required elements for proper coding and billing.
Candida diaper rash in infants
Specialty: PediatricsRequired Elements
- Location of rash
- Appearance and morphology
- Diagnostic test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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