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ICD-10 Guide
ICD-10 CodesB41.8

B41.8

Other forms of sporotrichosis

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

Code Description

ICD-10 B41.8 is a billable code used to indicate a diagnosis of other forms of sporotrichosis.

Key Diagnostic Point:

Sporotrichosis is a fungal infection caused by the dimorphic fungus Sporothrix schenckii, which is commonly found in soil, plants, and decaying organic matter. The infection typically manifests as cutaneous lesions, but can also disseminate to other systems, particularly in immunocompromised individuals. Other forms of sporotrichosis may include lymphocutaneous sporotrichosis, which is characterized by nodular lesions along lymphatic pathways, and disseminated sporotrichosis, which can affect multiple organs. The clinical presentation can vary significantly based on the host's immune status, with more severe manifestations occurring in those who are immunocompromised, such as patients with HIV/AIDS, those on immunosuppressive therapy, or individuals with underlying malignancies. Diagnosis is primarily through clinical evaluation and culture of the organism from lesions or other affected tissues. Treatment typically involves antifungal therapy, with itraconazole being the first-line agent, although amphotericin B may be necessary for severe cases or disseminated disease. The management of sporotrichosis in immunocompromised patients requires careful monitoring and may necessitate prolonged antifungal therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation based on immune status
  • Differentiation from other fungal infections
  • Need for accurate documentation of immunocompromised status
  • Potential for co-infections complicating diagnosis

Audit Risk Factors

  • Inadequate documentation of immunocompromised status
  • Failure to specify the form of sporotrichosis
  • Misclassification of sporotrichosis as another fungal infection
  • Lack of supporting lab results for diagnosis

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, lab results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with skin lesions, lymphadenopathy, or systemic symptoms.

Billing Considerations

Consideration of patient’s immune status and potential for co-infections.

Dermatology

Documentation Requirements

Photographic evidence of lesions and detailed descriptions of skin findings.

Common Clinical Scenarios

Patients with chronic skin lesions or those with a history of exposure to soil or plants.

Billing Considerations

Differentiation from other dermatological conditions is crucial.

Coding Guidelines

Inclusion Criteria

Use B41.8 When
  • Follow the official ICD
  • CM coding guidelines for fungal infections, ensuring accurate documentation of the type of sporotrichosis and the patient's immune status
  • existing

Exclusion Criteria

Do NOT use B41.8 When
  • Exclude codes for other fungal infections unless co

Related CPT Codes

87389CPT Code

Fungal culture

Clinical Scenario

Used to confirm diagnosis of sporotrichosis.

Documentation Requirements

Document the site of culture and results.

Specialty Considerations

Infectious disease specialists may require additional lab tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    CDC Fungal Diseases

Coding & Billing References

  • •
    CDC Fungal Diseases

Frequently Asked Questions

What is sporotrichosis?

Sporotrichosis is a fungal infection caused by Sporothrix schenckii, often presenting as skin lesions and can disseminate in immunocompromised patients.

How is sporotrichosis treated?

Treatment typically involves antifungal medications such as itraconazole, with more severe cases requiring amphotericin B.

What are the risk factors for sporotrichosis?

Risk factors include immunocompromised status, exposure to soil or plants, and certain occupational hazards.