ICD-10 Coding for Candida Esophagitis(B37.81)
Complete ICD-10-CM coding and documentation guide for Candida Esophagitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Candida Esophagitis
B37-B37.9Primary Range
Candidiasis
This range includes all forms of candidiasis, with B37.81 specifically for esophageal involvement.
Key Information: ICD-10 code for candida esophagitis
Essential facts and insights about Candida Esophagitis
Primary ICD-10-CM Code for candida esophagitis
Decision Criteria
clinical Criteria
- Presence of white plaques in the esophagus confirmed by endoscopy.
documentation Criteria
- Biopsy confirmation of Candida pseudohyphae.
Applicable To
- Esophageal candidiasis
Excludes
- Oral candidiasis (B37.0)
Clinical Validation Requirements
- Endoscopic visualization of white plaques/exudates
- Biopsy confirmation of Candida pseudohyphae
Code-Specific Risks
- Confusion with B37.89 if 'esophagitis' is not documented
Coding Notes
- Ensure documentation specifies endoscopic findings and biopsy results.
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 Candida Esophagitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.81.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure detailed endoscopic and biopsy documentation., Link symptoms to Candida infection.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always use B37.81 for esophageal involvement.
Impact
Coding B37.81 without biopsy confirmation may trigger audits.
Mitigation Strategy
Ensure biopsy results are documented.
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 Esophagitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candida Esophagitis
Use these documentation templates to ensure complete and accurate documentation for Candida Esophagitis. These templates include all required elements for proper coding and billing.
Endoscopic confirmation of Candida esophagitis
Specialty: GastroenterologyRequired Elements
- Endoscopic findings
- Biopsy results
- Symptoms and treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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