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v1.0.0
ICD-10 Guide
ICD-10 CodesB37.3

B37.3

Candidiasis of vulva and vagina

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B37.3 is a billable code used to indicate a diagnosis of candidiasis of vulva and vagina.

Key Diagnostic Point:

Candidiasis of the vulva and vagina, commonly known as a yeast infection, is a fungal infection caused primarily by the overgrowth of Candida species, particularly Candida albicans. This condition is characterized by symptoms such as itching, burning, and a thick, white vaginal discharge resembling cottage cheese. The infection can occur in women of all ages but is more prevalent in those who are pregnant, have diabetes, or are taking antibiotics, which can disrupt the normal vaginal flora. In immunocompromised patients, such as those with HIV/AIDS or undergoing chemotherapy, the risk of developing candidiasis increases significantly due to their weakened immune systems. Diagnosis is typically made through clinical evaluation and laboratory tests, including vaginal swabs. Treatment usually involves antifungal medications, which can be administered topically or orally, depending on the severity of the infection. It is essential to address any underlying conditions that may contribute to recurrent infections, such as uncontrolled diabetes or antibiotic use.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between candidiasis and other vulvovaginal infections.
  • Identifying underlying conditions in immunocompromised patients.
  • Documenting the severity and recurrence of infections.
  • Understanding treatment options and their implications for coding.

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment.
  • Failure to note recurrent infections.
  • Misclassification of the infection type.
  • Lack of documentation regarding patient immunocompromised status.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, symptom description, and treatment plan.

Common Clinical Scenarios

Patients presenting with recurrent yeast infections, pregnant women with candidiasis, and immunocompromised patients.

Billing Considerations

Consideration of pregnancy-related changes and their impact on treatment options.

Infectious Disease

Documentation Requirements

Comprehensive assessment of the patient's immune status and history of infections.

Common Clinical Scenarios

Patients with HIV/AIDS or those undergoing immunosuppressive therapy presenting with candidiasis.

Billing Considerations

Need for interdisciplinary communication regarding treatment plans and potential complications.

Coding Guidelines

Inclusion Criteria

Use B37.3 When
  • According to ICD
  • 10 coding guidelines, B37
  • 3 should be used when the condition is specifically diagnosed as candidiasis of the vulva and vagina
  • It is important to document the clinical findings and any relevant patient history to support the diagnosis

Exclusion Criteria

Do NOT use B37.3 When
No specific exclusions found.

Related CPT Codes

87210CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when a culture is taken to confirm candidiasis.

Documentation Requirements

Document the reason for the culture and the site from which it was taken.

Specialty Considerations

Obstetrics and Gynecology may require additional documentation regarding pregnancy status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of candidiasis, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of candidiasis, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC - Candidiasis

Coding & Billing References

  • •
    CDC - Candidiasis

Frequently Asked Questions

What are the common symptoms of candidiasis of the vulva and vagina?

Common symptoms include itching, burning, and a thick, white discharge resembling cottage cheese. Some patients may also experience redness and swelling.