ICD-10 Coding for Candidiasis of the Skin(B37.2, B37.9)
Complete ICD-10-CM coding and documentation guide for Candidiasis of the 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 the Skin
B37.0-B37.9Primary Range
Candidiasis
This range includes all forms of candidiasis, with B37.2 specifically for skin and nail involvement.
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 candidiasis is confirmed by clinical and laboratory findings. |
|
| B37.9 | Candidiasis, unspecified | Use when specific site or organism is not documented. |
|
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 candidiasis skin
Essential facts and insights about Candidiasis of the Skin
Primary ICD-10-CM Codes for candidiasis skin
Decision Criteria
clinical Criteria
- Presence of erythematous plaques with satellite pustules
documentation Criteria
- KOH prep results documented in patient record
Applicable To
- Candidal intertrigo
- Cutaneous candidiasis
Excludes
- Diaper dermatitis (L22)
Clinical Validation Requirements
- Erythematous rash with satellite lesions
- Positive KOH prep for pseudohyphae
- Culture confirming Candida species
Code-Specific Risks
- Misclassification if not confirmed by lab tests
- Incorrect sequencing with L22
Coding Notes
- Ensure lab confirmation of Candida species to avoid unspecified coding.
B37.9 - Candidiasis, unspecified
Use when specific site or organism is not documented.
Clinical Validation Requirements
- General symptoms without specific site or organism identification
Coding Notes
Encourage specificity in documentation to avoid using this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Candidiasis of the 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: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increased risk of audit., Financial: Potential for claim denials.
Mitigation Strategy
Use specific terms like 'pustular rash with positive KOH prep'., Ensure lab confirmation is documented.
Impact
Reimbursement: May result in lower reimbursement if not coded correctly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code B37.2 with L22 when Candida is confirmed.
Impact
Use of B37.9 without specific site or organism.
Mitigation Strategy
Encourage detailed documentation and lab confirmation.
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 the Skin, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Candidiasis of the Skin
Use these documentation templates to ensure complete and accurate documentation for Candidiasis of the Skin. These templates include all required elements for proper coding and billing.
Candidiasis in intertriginous areas
Specialty: DermatologyRequired Elements
- Location of rash
- Description of lesions
- Lab test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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