ICD-10 Coding for Candidiasis of Skin(B37.2)
Complete ICD-10-CM coding and documentation guide for Candidiasis of Skin. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Candidiasis of Skin
Key Information: ICD-10 code for candidiasis of skin
Essential facts and insights about Candidiasis of Skin
Primary ICD-10-CM Code for candidiasis of skin
Decision Criteria
clinical Criteria
- Presence of erythematous rash with satellite pustules
documentation Criteria
- KOH prep or culture results confirming Candida
Applicable To
- Candidal intertrigo
- Candidal paronychia
Excludes
- Diaper dermatitis (L22)
Clinical Validation Requirements
- KOH prep showing pseudohyphae
- Positive fungal culture for Candida
- PCR detection of Candida DNA
Code-Specific Risks
- Misclassification if Candida is not confirmed
- Incorrect sequencing with L22 for diaper rash
Coding Notes
- Ensure Candida is confirmed through lab tests before using B37.2.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Diaper dermatitis
L22Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Dermatitis, unspecified
L30.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Candidiasis of Skin to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.2.
Impact
Clinical: Misdiagnosis or inappropriate treatment., Regulatory: Failure to meet documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific descriptors for rash., Include lab results confirming Candida.
Impact
Reimbursement: Incorrect DRG assignment and potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code B37.2 first, followed by L22.
Impact
Failure to sequence B37.2 before L22 in candidal diaper rash cases.
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 Candidiasis of Skin, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candidiasis of Skin
Use these documentation templates to ensure complete and accurate documentation for Candidiasis of Skin. These templates include all required elements for proper coding and billing.
Candidal Intertrigo
Specialty: DermatologyRequired Elements
- Location of rash
- Morphology
- Diagnostic evidence
- Risk factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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