ICD-10 Coding for Histoplasmosis(B39.0, B39.3)
Complete ICD-10-CM coding and documentation guide for Histoplasmosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Histoplasmosis
B39.0-B39.9Primary Range
Histoplasmosis codes covering various forms and manifestations
This range includes all specific and unspecified forms of histoplasmosis, essential for accurate diagnosis coding.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B39.0 | Acute pulmonary histoplasmosis capsulati | Use when acute pulmonary symptoms are present with confirmatory lab tests. |
|
| B39.3 | Disseminated histoplasmosis capsulati | Use for systemic involvement confirmed by lab tests. |
|
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 disseminated histoplasmosis
Essential facts and insights about Histoplasmosis
Primary ICD-10-CM Codes for histoplasosmsi
Decision Criteria
clinical Criteria
- Presence of acute respiratory symptoms and positive lab tests
Applicable To
- Acute pulmonary histoplasmosis
Excludes
- Chronic pulmonary histoplasmosis (B39.1)
Clinical Validation Requirements
- Radiologic evidence of nodular infiltrates
- Positive culture or antigen test
Code-Specific Risks
- Misclassification as chronic if not properly documented
Coding Notes
- Ensure documentation specifies 'acute' and includes lab confirmation.
B39.3 - Disseminated histoplasmosis capsulati
Use for systemic involvement confirmed by lab tests.
Applicable To
- Multiorgan involvement
Excludes
- Localized histoplasmosis (B39.0-B39.2)
Clinical Validation Requirements
- Positive blood or CSF culture
- Bone marrow biopsy showing intracellular yeast
Coding Notes
Document all affected systems and confirm with lab results.
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 Histoplasmosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B39.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Fails to meet coding specificity standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Educate clinicians on the importance of detailed documentation., Implement checklists for common infections.
Impact
Reimbursement: May lead to lower DRG assignment and reimbursement., Compliance: Non-compliance with coding specificity requirements., Data Quality: Reduces data accuracy for epidemiological tracking.
Mitigation Strategy
Review documentation for specific type and manifestations to use a more specific code.
Impact
Risk of audits due to use of unspecified codes when specific details are available.
Mitigation Strategy
Regular training on documentation and coding updates.
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 Histoplasmosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Histoplasmosis
Use these documentation templates to ensure complete and accurate documentation for Histoplasmosis. These templates include all required elements for proper coding and billing.
Acute Pulmonary Histoplasmosis
Specialty: PulmonologyRequired Elements
- Patient history of exposure
- Radiologic findings
- Lab test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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