Chronic candidiasis of vulva and vagina
ICD-10 B37.32 is a billable code used to indicate a diagnosis of chronic candidiasis of vulva and vagina.
Chronic candidiasis of the vulva and vagina is a persistent fungal infection caused primarily by the overgrowth of Candida species, particularly Candida albicans. This condition is characterized by symptoms such as intense itching, burning sensations, and abnormal vaginal discharge, which may appear thick and white, resembling cottage cheese. Chronic candidiasis can occur in women with a history of recurrent yeast infections, often exacerbated by factors such as hormonal changes, antibiotic use, diabetes, and immunocompromised states. In immunocompromised patients, such as those with HIV/AIDS or undergoing chemotherapy, the risk of chronic candidiasis increases significantly due to their weakened immune systems. Diagnosis typically involves clinical evaluation and may be confirmed through laboratory tests, including culture or microscopy of vaginal secretions. Treatment usually involves antifungal medications, which can be administered topically or systemically, depending on the severity and frequency of the infections. Long-term management may also include lifestyle modifications and addressing underlying conditions that contribute to the recurrence of infections.
Detailed patient history, including frequency and duration of symptoms, previous treatments, and any underlying health conditions.
Patients presenting with recurrent yeast infections, those with diabetes, or patients undergoing immunosuppressive therapy.
Ensure documentation reflects the chronic nature of the condition and any relevant comorbidities.
Comprehensive evaluation of the patient's immune status and any contributing factors to candidiasis.
Immunocompromised patients with recurrent infections or those with atypical presentations.
Focus on the underlying causes of immunosuppression and the impact on treatment options.
When a culture is performed to confirm candidiasis.
Document the reason for the culture and any relevant patient history.
Obstetrics and Gynecology may require specific documentation related to gynecological health.
Common treatments include antifungal medications such as fluconazole or topical agents like clotrimazole. Long-term management may also involve lifestyle changes and addressing underlying health issues.
