ICD-10 Coding for Fungal Dermatitis(B35.4, B37.2)
Complete ICD-10-CM coding and documentation guide for Fungal Dermatitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fungal Dermatitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B35.4 | Tinea corporis | Use when there is confirmed dermatophytic infection of the body. |
|
| B37.2 | Candidiasis of skin | Use when candidal infection of the skin is confirmed. |
|
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 fungal dermatitis
Essential facts and insights about Fungal Dermatitis
Primary ICD-10-CM Codes for fungal dermatitis
Decision Criteria
clinical Criteria
- Positive KOH or culture for dermatophytes.
Applicable To
- Ringworm of body
Excludes
- Candidiasis of skin (B37.2)
Clinical Validation Requirements
- KOH prep positive for hyphae
- Fungal culture identification
- Histopathology showing fungal elements
Code-Specific Risks
- Misclassification if fungal etiology is not confirmed.
Coding Notes
- Ensure documentation specifies the type of fungus if identified.
B37.2 - Candidiasis of skin
Use when candidal infection of the skin is confirmed.
Applicable To
- Intertriginous candidiasis
Excludes
- Dermatophytosis (B35.4)
Clinical Validation Requirements
- Culture positive for Candida species
- KOH prep showing pseudohyphae
Coding Notes
Ensure culture or KOH confirms Candida.
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 Fungal Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B35.4.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Fails to meet documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use detailed descriptors for lesions, Include lab results in documentation
Impact
Reimbursement: Incorrect DRG assignment may occur., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Upgrade to B35-B49 code when lab confirmation is documented.
Impact
Risk of audits due to improper use of non-specific codes.
Mitigation Strategy
Ensure lab confirmation and detailed documentation.
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 Fungal Dermatitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fungal Dermatitis
Use these documentation templates to ensure complete and accurate documentation for Fungal Dermatitis. These templates include all required elements for proper coding and billing.
Outpatient dermatology visit for suspected fungal infection
Specialty: DermatologyRequired Elements
- Location of lesion
- Morphology description
- Diagnostic tests performed
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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