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v1.0.0
ICD-10 Guide
ICD-10 CodesB41.7

B41.7

B41.7 Disseminated coccidioidomycosis

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

Code Description

ICD-10 B41.7 is a billable code used to indicate a diagnosis of b41.7 disseminated coccidioidomycosis.

Key Diagnostic Point:

Disseminated coccidioidomycosis is a severe form of coccidioidomycosis, a fungal infection caused by the inhalation of spores from the Coccidioides species, primarily C. immitis and C. posadasii. This condition occurs when the infection spreads beyond the lungs to other parts of the body, including the skin, bones, joints, and central nervous system. Patients may present with a variety of symptoms, including fever, cough, chest pain, fatigue, and weight loss, along with systemic manifestations such as skin lesions or meningitis. The risk of dissemination is significantly higher in immunocompromised individuals, such as those with HIV/AIDS, cancer, or those on immunosuppressive therapy. Diagnosis typically involves serological tests, culture, or histopathological examination. Treatment often requires prolonged antifungal therapy, including agents such as fluconazole or amphotericin B, depending on the severity and location of the disease. Early recognition and appropriate management are crucial to improving patient outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of fungal infections and their systemic effects.
  • Differentiation from other respiratory and systemic infections.
  • Documentation of immunocompromised status is critical.
  • Potential for multiple organ involvement complicates coding.

Audit Risk Factors

  • Inadequate documentation of immunocompromised status.
  • Failure to document the extent of disease dissemination.
  • Misclassification of the infection as localized.
  • Lack of supporting lab results or imaging studies.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on the patient's history, physical examination findings, and laboratory results.

Common Clinical Scenarios

Patients presenting with respiratory symptoms and a history of travel to endemic areas.

Billing Considerations

Ensure documentation reflects the immunocompromised status and any comorbidities.

Pulmonology

Documentation Requirements

Pulmonary function tests, imaging studies, and treatment response documentation.

Common Clinical Scenarios

Patients with chronic cough and pulmonary nodules.

Billing Considerations

Document any respiratory failure or need for hospitalization.

Coding Guidelines

Inclusion Criteria

Use B41.7 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's clinical status, treatment, and any complications
  • Include specific details about the extent of dissemination and any underlying conditions

Exclusion Criteria

Do NOT use B41.7 When
No specific exclusions found.

Related CPT Codes

87481CPT Code

Coccidioides antibody test

Clinical Scenario

Used to confirm diagnosis in suspected cases of disseminated coccidioidomycosis.

Documentation Requirements

Document the reason for testing and clinical findings.

Specialty Considerations

Infectious disease specialists should ensure comprehensive documentation of 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 disseminated coccidioidomycosis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of disseminated coccidioidomycosis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    CDC Coccidioidomycosis Information

Coding & Billing References

  • •
    CDC Coccidioidomycosis Information

Frequently Asked Questions

What are the common symptoms of disseminated coccidioidomycosis?

Common symptoms include fever, cough, chest pain, fatigue, and systemic manifestations such as skin lesions or neurological symptoms.

How is disseminated coccidioidomycosis diagnosed?

Diagnosis is typically made through serological tests, cultures, and imaging studies that reveal the extent of the disease.