ICD-10 Coding for Candida Vaginitis(B37.31, B37.32)
Complete ICD-10-CM coding and documentation guide for Candida Vaginitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Candida 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.
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 the condition is acute and confirmed by lab tests. |
|
| B37.32 | Chronic candidiasis of vulva and vagina | Use when the condition is chronic with documented recurrence. |
|
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 candida vaginitis
Essential facts and insights about Candida Vaginitis
Primary ICD-10-CM Codes for candida vaginitis
Decision Criteria
clinical Criteria
- Presence of acute symptoms and lab confirmation
Applicable To
- Acute vulvovaginal candidiasis
Excludes
- Chronic candidiasis (B37.32)
Clinical Validation Requirements
- Microscopy confirms hyphae/pseudohyphae
- PCR positive for Candida species
- pH <4.5
Code-Specific Risks
- Incorrectly coding as chronic without evidence
Coding Notes
- Ensure lab confirmation is documented.
B37.32 - Chronic candidiasis of vulva and vagina
Use when the condition is chronic with documented recurrence.
Applicable To
- Chronic vulvovaginal candidiasis
Excludes
- Acute candidiasis (B37.31)
Clinical Validation Requirements
- Recurrent episodes (4x in 12 months)
- PCR confirms non-albicans species
Coding Notes
Document recurrence and lab confirmation.
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 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: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terminology., Include lab confirmation.
Impact
Reimbursement: Claim denials due to non-billable code., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate patient records.
Mitigation Strategy
Query provider for acute or chronic designation.
Impact
Risk of coding chronic without proper documentation.
Mitigation Strategy
Require documentation of recurrence and lab results.
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 Vaginitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candida Vaginitis
Use these documentation templates to ensure complete and accurate documentation for Candida Vaginitis. These templates include all required elements for proper coding and billing.
Acute Candidiasis Diagnosis
Specialty: OB/GYNRequired Elements
- Symptoms
- Lab results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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