ICD-10 Coding for Jock Itch(B35.6)
Complete ICD-10-CM coding and documentation guide for Jock Itch. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Jock Itch
B35-B49Primary Range
Mycoses
This range includes dermatophytosis and other fungal infections, with B35.6 specifically for tinea cruris.
Key Information: ICD-10 code for tinea cruris
Essential facts and insights about Jock Itch
Primary ICD-10-CM Code for tinea cruris
Decision Criteria
clinical Criteria
- Presence of erythematous plaques with central clearing in the groin area.
documentation Criteria
- KOH prep positive for hyphae.
Applicable To
- Dhobi itch
- Groin ringworm
- Jock itch
Excludes
- Candidiasis of the groin (B37.2)
Clinical Validation Requirements
- KOH prep showing hyphae
- Culture confirming Trichophyton rubrum
Code-Specific Risks
- Misclassification if scrotal involvement is present
- Incorrect use without lab confirmation
Coding Notes
- Ensure documentation specifies groin involvement and absence of scrotal lesions to differentiate from candidiasis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tinea Pedis
B35.3Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Candidiasis of skin and nail
B37.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Jock Itch to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B35.6.
Impact
Clinical: Misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific anatomical terms., Include lab results in documentation.
Impact
Reimbursement: Potential for lower reimbursement due to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure specific documentation of groin involvement and lab confirmation.
Impact
Audits may target vague documentation of infection location.
Mitigation Strategy
Ensure documentation specifies groin involvement and absence of scrotal lesions.
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 Jock Itch, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Jock Itch
Use these documentation templates to ensure complete and accurate documentation for Jock Itch. These templates include all required elements for proper coding and billing.
Primary Care Visit for Groin Rash
Specialty: DermatologyRequired Elements
- Location and morphology of lesions
- Lab test results
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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