ICD-10 Coding for Athlete's Foot(B35.3)
Complete ICD-10-CM coding and documentation guide for Athlete's Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Athlete's Foot
B35-B49Primary Range
Mycoses
This range includes all fungal infections, with B35.3 specifically for tinea pedis.
Key Information: ICD-10 code for tinea pedis
Essential facts and insights about Athlete's Foot
Primary ICD-10-CM Code for tinea pedis
Decision Criteria
clinical Criteria
- Presence of scaling, erythema, and positive KOH test
coding Criteria
- Avoid using B35.9 when specific location is documented
Applicable To
- Athlete's foot
- Dermatophytosis of the foot
Clinical Validation Requirements
- KOH preparation positive for fungal hyphae
- Characteristic interdigital maceration/scaling
Code-Specific Risks
- Using unspecified codes like B35.9 when specific location is documented
Coding Notes
- Ensure specific documentation of the type and location of tinea pedis.
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 Athlete's Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B35.3.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terms like 'tinea pedis' and document test results.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always use B35.3 when tinea pedis is confirmed.
Impact
Frequent use of B35.9 instead of B35.3.
Mitigation Strategy
Educate coders on specific code usage.
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 Athlete's Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Athlete's Foot
Use these documentation templates to ensure complete and accurate documentation for Athlete's Foot. These templates include all required elements for proper coding and billing.
Diabetic patient with tinea pedis
Specialty: PodiatryRequired Elements
- Patient history
- Diabetic status
- Foot examination findings
- KOH test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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