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ICD-10 Coding for Candidal Intertrigo(B37.2)

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

Also known as:

Intertriginous CandidiasisYeast Infection in Skin Foldsyeast intertrigocandida skin infection

Related ICD-10 Code Ranges

Complete code families applicable to Candidal Intertrigo

Mycoses

Includes fungal infections, with B37.2 specifically for candidiasis of skin and nail.

B37Primary Range

Candidiasis

Primary range for candidal infections, including candidal intertrigo.

Key Information: ICD-10 code for candidal intertrigo

Essential facts and insights about Candidal Intertrigo

The ICD-10 code for candidal intertrigo is B37.2, which includes candidiasis of skin and nail.

Primary ICD-10-CM Code for candidal intertrigo

Candidiasis of skin and nail
Billable Code

Decision Criteria

clinical Criteria

  • Presence of satellite pustules and positive KOH test

documentation Criteria

  • Detailed description of rash and diagnostic confirmation

Applicable To

  • Candidal intertrigo

Excludes

Clinical Validation Requirements

  • KOH microscopy showing pseudohyphae
  • Culture positive for Candida species

Code-Specific Risks

  • Misclassification as dermatitis if Candida is confirmed

Coding Notes

  • Ensure documentation specifies Candida confirmation and location of intertrigo.

Ancillary Codes

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

Obesity, unspecified

E66.9
Use when obesity is a contributing factor.

Primary focal hyperhidrosis

L74.4
Use when excessive sweating contributes to intertrigo.

Differential Codes

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

Dermatitis, unspecified

L30.9
Use when Candida is not confirmed.

Diaper dermatitis

L22
Use for diaper area involvement without Candida confirmation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Candidal Intertrigo 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, Regulatory: Non-compliance with documentation standards, Financial: Potential for denied claims

Mitigation Strategy

Always document KOH or culture results, Include specific lesion descriptions

Impact

Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Always use B37.2 if diagnostic testing confirms Candida.

Impact

Lack of documented confirmation of Candida can lead to audit issues.

Mitigation Strategy

Ensure all cases have documented KOH or culture 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 Candidal Intertrigo, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Candidal Intertrigo

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

Candidal intertrigo in obese patient

Specialty: Dermatology

Required Elements

  • Location and size of lesions
  • Presence of satellite pustules
  • KOH test results
  • BMI and obesity status

Example Documentation

Erythematous, macerated plaque with satellite pustules in axillary fold. KOH prep reveals septate hyphae. BMI 38. Plan: Clotrimazole BID x 14 days, weight loss counseling.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Rash under breasts
Good Documentation Example
3x4 cm beefy red plaque with peripheral scaling and satellite pustules in infra-mammary fold, KOH+ pseudohyphae
Explanation
The good example provides specific details and confirms Candida presence.

Need help with ICD-10 coding for Candidal Intertrigo? Ask your questions below.

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