ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesB37.42

B37.42

Candidal balanitis

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

Code Description

ICD-10 B37.42 is a billable code used to indicate a diagnosis of candidal balanitis.

Key Diagnostic Point:

Candidal balanitis is a fungal infection characterized by inflammation of the glans penis, primarily caused by the overgrowth of Candida species, particularly Candida albicans. This condition often presents with symptoms such as redness, swelling, itching, and a thick, white discharge. It is commonly seen in individuals with risk factors such as diabetes, poor hygiene, and immunocompromised states. The infection can occur in both circumcised and uncircumcised males, but uncircumcised males are at a higher risk due to the moist environment under the foreskin. Diagnosis is typically made through clinical examination and may be confirmed by laboratory tests, including culture or microscopy of the discharge. Treatment usually involves topical antifungal agents such as clotrimazole or miconazole, and in more severe cases, systemic antifungal therapy may be required. It is essential to address any underlying conditions, such as diabetes or immunosuppression, to prevent recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between candidal balanitis and other types of balanitis.
  • Identifying underlying conditions that may contribute to the infection.
  • Understanding the various antifungal treatments and their indications.
  • Documenting the patient's immunocompromised status accurately.

Audit Risk Factors

  • Inadequate documentation of the patient's immunocompromised status.
  • Failure to document the specific antifungal treatment prescribed.
  • Misclassification of the type of balanitis.
  • Lack of follow-up documentation for recurrent infections.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including symptoms, duration, and previous treatments.

Common Clinical Scenarios

Patients presenting with penile itching, discharge, or inflammation.

Billing Considerations

Consideration of circumcision status and potential for recurrent infections.

Dermatology

Documentation Requirements

Comprehensive skin examination findings and any relevant laboratory results.

Common Clinical Scenarios

Patients with skin lesions or rashes in the genital area.

Billing Considerations

Differentiating candidal infections from other dermatological conditions.

Coding Guidelines

Inclusion Criteria

Use B37.42 When
  • According to ICD
  • 10 coding guidelines, B37
  • 42 should be used when the diagnosis of candidal balanitis is confirmed
  • It is important to document any underlying conditions that may predispose the patient to fungal infections

Exclusion Criteria

Do NOT use B37.42 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents for evaluation and management of candidal balanitis.

Documentation Requirements

Document the history, examination findings, and treatment plan.

Specialty Considerations

Urologists and dermatologists should ensure thorough documentation of symptoms and treatment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of candidal infections, improving the accuracy of data collection and treatment tracking. B37.42 provides a clear designation for candidal balanitis, facilitating better patient management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of candidal infections, improving the accuracy of data collection and treatment tracking. B37.42 provides a clear designation for candidal balanitis, facilitating better patient management and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of candidal infections, improving the accuracy of data collection and treatment tracking. B37.42 provides a clear designation for candidal balanitis, facilitating better patient management and research.

Resources

Clinical References

  • •
    CDC - Fungal Infections

Coding & Billing References

  • •
    CDC - Fungal Infections

Frequently Asked Questions

What are the common treatments for candidal balanitis?

Common treatments include topical antifungal creams such as clotrimazole or miconazole. In severe cases, oral antifungals like fluconazole may be prescribed.