ICD-10 Coding for Fungemia(B37.7, B37.9)
Complete ICD-10-CM coding and documentation guide for Fungemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fungemia
B37.0-B37.9Primary Range
Candidiasis
This range includes codes for candidal infections, including systemic infections like fungemia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B37.7 | Candidal sepsis | Use when there is documented evidence of candidal sepsis with systemic involvement. |
|
| B37.9 | Unspecified candidiasis | Use when the Candida species or site is not specified in the documentation. |
|
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 fungemia
Essential facts and insights about Fungemia
Primary ICD-10-CM Codes for fungemia
Decision Criteria
clinical Criteria
- Presence of systemic symptoms and positive blood cultures for Candida.
documentation Criteria
- Explicit mention of candidal sepsis in the medical record.
Applicable To
- Candidal septicemia
Excludes
- Candidiasis of other sites
Clinical Validation Requirements
- Positive blood cultures for Candida species
- Systemic inflammatory response syndrome (SIRS) criteria
Code-Specific Risks
- Misidentifying the organism leading to incorrect coding
- Sequencing errors if underlying infection is not coded first
Coding Notes
- Ensure documentation specifies the Candida species and systemic involvement.
B37.9 - Unspecified candidiasis
Use when the Candida species or site is not specified in the documentation.
Excludes
- Specific candidal infections
Clinical Validation Requirements
- Positive blood culture without specific Candida species identification
Coding Notes
Consider querying for more specific documentation if possible.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Severe sepsis with septic shock
R65.21Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fungemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.7.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of symptoms and lab results., Regular training on documentation standards.
Impact
Reimbursement: Incorrect sequencing can lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code the underlying infection first if it led to fungemia.
Impact
Inadequate documentation of systemic symptoms can lead to audit issues.
Mitigation Strategy
Ensure comprehensive documentation of clinical findings 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 Fungemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fungemia
Use these documentation templates to ensure complete and accurate documentation for Fungemia. These templates include all required elements for proper coding and billing.
Candidal sepsis diagnosis
Specialty: Infectious DiseaseRequired Elements
- Positive blood culture results
- Systemic symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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