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v1.0.0
ICD-10 Guide
ICD-10 CodesB37.82

B37.82

Candidal enteritis

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

Code Description

ICD-10 B37.82 is a billable code used to indicate a diagnosis of candidal enteritis.

Key Diagnostic Point:

Candidal enteritis is a fungal infection of the intestines caused by Candida species, most commonly Candida albicans. This condition is characterized by inflammation of the intestinal mucosa, leading to symptoms such as abdominal pain, diarrhea, and malabsorption. Candidal enteritis is often seen in immunocompromised patients, including those with HIV/AIDS, cancer, or those undergoing immunosuppressive therapy. The infection can occur when there is an overgrowth of Candida in the gastrointestinal tract, often following antibiotic use that disrupts normal flora. Diagnosis typically involves clinical evaluation, stool cultures, and endoscopic examination. Treatment usually includes antifungal medications such as fluconazole or amphotericin B, depending on the severity of the infection and the patient's overall health status. Prompt recognition and treatment are crucial to prevent complications such as intestinal perforation or systemic infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating candidal enteritis from other gastrointestinal infections
  • Identifying immunocompromised status of the patient
  • Understanding the appropriate antifungal treatment options
  • Documenting the clinical presentation and diagnostic tests accurately

Audit Risk Factors

  • Inadequate documentation of immunocompromised status
  • Failure to document the specific symptoms of enteritis
  • Incorrect coding of antifungal treatments administered
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with diarrhea, abdominal pain, and a history of antibiotic use.

Billing Considerations

Ensure documentation reflects the severity of the infection and any underlying conditions.

Infectious Disease

Documentation Requirements

Comprehensive history of immunocompromised conditions and treatment regimens.

Common Clinical Scenarios

Patients with recurrent fungal infections or those undergoing chemotherapy.

Billing Considerations

Document the rationale for antifungal therapy and any resistance patterns.

Coding Guidelines

Inclusion Criteria

Use B37.82 When
  • Follow the official ICD
  • CM coding guidelines for fungal infections, ensuring accurate documentation of the patient's immunocompromised status and the specific symptoms of enteritis
  • Include any relevant laboratory results and treatment plans

Exclusion Criteria

Do NOT use B37.82 When
No specific exclusions found.

Related CPT Codes

45378CPT Code

Colonoscopy, flexible, diagnostic

Clinical Scenario

Used to evaluate gastrointestinal symptoms in suspected candidal enteritis.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Gastroenterology specialists should ensure thorough documentation of findings.

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 reimbursement processes. B37.82 provides a clear distinction for candidal enteritis, which was less defined in ICD-9.

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 reimbursement processes. B37.82 provides a clear distinction for candidal enteritis, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. B37.82 provides a clear distinction for candidal enteritis, which was less defined in ICD-9.

Resources

Clinical References

  • •
    CDC - Fungal Diseases

Coding & Billing References

  • •
    CDC - Fungal Diseases

Frequently Asked Questions

What are the common symptoms of candidal enteritis?

Common symptoms include abdominal pain, diarrhea, nausea, and vomiting. Patients may also experience weight loss and malabsorption.