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v1.0.0
ICD-10 Guide
ICD-10 CodesB37.6

B37.6

Candidiasis of other urogenital sites

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

Code Description

ICD-10 B37.6 is a billable code used to indicate a diagnosis of candidiasis of other urogenital sites.

Key Diagnostic Point:

Candidiasis of other urogenital sites refers to fungal infections caused by Candida species, primarily Candida albicans, affecting areas of the urogenital tract that are not classified under more specific codes. This condition can manifest in various forms, including vulvovaginal candidiasis, urethritis, and infections of the bladder or other urogenital structures. Symptoms may include itching, burning, abnormal discharge, and discomfort during urination or sexual intercourse. The risk of developing candidiasis increases in immunocompromised patients, such as those with HIV/AIDS, diabetes, or those undergoing immunosuppressive therapy. Diagnosis typically involves clinical evaluation and laboratory tests, including culture and sensitivity testing to identify the specific Candida species and determine antifungal susceptibility. Treatment usually involves antifungal medications, such as fluconazole or topical agents like clotrimazole, with the choice of therapy depending on the severity of the infection and the patient's overall health status. Proper management is crucial to prevent recurrent infections and complications, particularly in vulnerable populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations and symptoms
  • Differentiation from other urogenital infections
  • Need for laboratory confirmation of Candida species
  • Consideration of patient’s immunocompromised status

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the site of infection
  • Lack of laboratory results supporting the diagnosis
  • Misclassification of candidiasis as a bacterial infection

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients with recurrent candidiasis, immunocompromised patients, and those with atypical presentations.

Billing Considerations

Documentation must clearly indicate the site of infection and any underlying conditions.

Urology

Documentation Requirements

Urological evaluations, imaging studies if applicable, and treatment responses.

Common Clinical Scenarios

Men presenting with urethritis or bladder infections suspected to be candidiasis.

Billing Considerations

Ensure differentiation from other urogenital infections and document any relevant surgical history.

Coding Guidelines

Inclusion Criteria

Use B37.6 When
  • According to ICD
  • 10 guidelines, B37
  • 6 should be used when candidiasis is confirmed in urogenital sites not specified elsewhere
  • It is important to document the specific site and any relevant patient history, including immunocompromised status

Exclusion Criteria

Do NOT use B37.6 When
No specific exclusions found.

Related CPT Codes

87481CPT Code

Candidiasis culture

Clinical Scenario

Used when a patient presents with symptoms of candidiasis and requires laboratory confirmation.

Documentation Requirements

Document the reason for the culture and any prior treatments.

Specialty Considerations

Infectious disease specialists may require additional details on the patient's history.

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 data collection and treatment tracking. B37.6 provides a clear designation for candidiasis affecting other urogenital sites, which was less distinctly categorized in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of candidiasis, improving the accuracy of data collection and treatment tracking. B37.6 provides a clear designation for candidiasis affecting other urogenital sites, which was less distinctly categorized in ICD-9.

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 other urogenital sites?

Common symptoms include itching, burning sensation, abnormal discharge, and discomfort during urination or sexual intercourse.

How is candidiasis diagnosed?

Diagnosis is typically made through clinical evaluation and confirmed with laboratory tests, including cultures to identify the specific Candida species.

What treatments are available for candidiasis?

Treatment options include antifungal medications such as fluconazole and topical agents like clotrimazole, depending on the severity and site of infection.