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v1.0.0
ICD-10 Guide
ICD-10 CodesB38.2

B38.2

Candidiasis of other urogenital sites

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

Code Description

ICD-10 B38.2 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. Treatment often includes antifungal medications such as fluconazole or topical agents like clotrimazole. It is crucial for healthcare providers to consider the patient's overall health status and any underlying conditions when diagnosing and treating candidiasis of other urogenital sites.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of candidiasis
  • Identifying the specific urogenital site affected
  • Documenting immunocompromised status accurately
  • Understanding the nuances of antifungal treatment options

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the site of infection
  • Misclassification of candidiasis type
  • Lack of evidence for immunocompromised status

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, including immunocompromised status and previous infections.

Common Clinical Scenarios

Patients presenting with recurrent candidiasis or those with underlying conditions such as diabetes or HIV.

Billing Considerations

Consideration of antifungal resistance and the need for culture and sensitivity testing.

Urology

Documentation Requirements

Clear documentation of urinary symptoms and any relevant imaging or laboratory results.

Common Clinical Scenarios

Patients with urinary tract symptoms and a history of candidiasis.

Billing Considerations

Differentiating between candidiasis and other urogenital infections.

Coding Guidelines

Inclusion Criteria

Use B38.2 When
  • According to ICD
  • 10 coding guidelines, B38
  • 2 should be used when candidiasis is confirmed in urogenital sites not specified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that any relevant underlying conditions are noted

Exclusion Criteria

Do NOT use B38.2 When
No specific exclusions found.

Related CPT Codes

87481CPT Code

Candidiasis culture

Clinical Scenario

When a culture is performed to confirm candidiasis diagnosis.

Documentation Requirements

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

Specialty Considerations

Infectious disease specialists may require additional lab results.

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 ability to track and manage these infections. B38.2 provides a distinct code for candidiasis of other urogenital sites, which aids in better patient management and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of candidiasis, improving the ability to track and manage these infections. B38.2 provides a distinct code for candidiasis of other urogenital sites, which aids in better patient management and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of candidiasis, improving the ability to track and manage these infections. B38.2 provides a distinct code for candidiasis of other urogenital sites, which aids in better patient management and treatment planning.

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 during urination, abnormal discharge, and discomfort during sexual intercourse.

How is candidiasis diagnosed?

Diagnosis is typically made through clinical evaluation and may include laboratory tests such as cultures to identify the Candida species.

What treatments are available for candidiasis?

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