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v1.0.0
ICD-10 Guide
ICD-10 CodesB42.82

B42.82

Sporotrichosis arthritis

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

Code Description

ICD-10 B42.82 is a billable code used to indicate a diagnosis of sporotrichosis arthritis.

Key Diagnostic Point:

Sporotrichosis arthritis is a rare form of arthritis caused by the fungus Sporothrix schenckii, which typically enters the body through skin abrasions or punctures. This fungal infection can lead to joint inflammation, pain, and swelling, often resembling other forms of arthritis. Patients may present with localized joint pain, swelling, and sometimes systemic symptoms such as fever and malaise. The condition is more common in individuals with compromised immune systems, such as those with HIV/AIDS, diabetes, or those on immunosuppressive therapies. Diagnosis is primarily based on clinical presentation, history of exposure, and laboratory tests, including culture and histopathological examination. Treatment typically involves antifungal medications, such as itraconazole or potassium iodide, and may require prolonged therapy to ensure resolution of the infection and associated arthritic symptoms. Early diagnosis and treatment are crucial to prevent chronic joint damage and systemic spread of the infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating sporotrichosis from other fungal infections.
  • Understanding the immunocompromised status of the patient.
  • Variability in clinical presentation and symptoms.
  • Need for accurate laboratory confirmation of the fungal infection.

Audit Risk Factors

  • Inadequate documentation of the patient's immunocompromised status.
  • Failure to document the clinical presentation and symptoms accurately.
  • Misidentification of the causative organism.
  • Inconsistent coding of co-existing conditions.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, clinical symptoms, laboratory results, and treatment response.

Common Clinical Scenarios

Patients presenting with joint pain and a history of exposure to soil or vegetation.

Billing Considerations

Consideration of the patient's immune status and potential for systemic involvement.

Rheumatology

Documentation Requirements

Comprehensive assessment of joint involvement, including imaging studies and laboratory tests.

Common Clinical Scenarios

Patients with joint swelling and pain who may have underlying fungal infections.

Billing Considerations

Differentiating between infectious and non-infectious arthritis.

Coding Guidelines

Inclusion Criteria

Use B42.82 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the infection's etiology and the patient's immune status
  • Include any relevant co
  • existing conditions that may impact treatment and prognosis

Exclusion Criteria

Do NOT use B42.82 When
No specific exclusions found.

Related CPT Codes

87481CPT Code

Fungal culture

Clinical Scenario

Used to confirm the diagnosis of sporotrichosis.

Documentation Requirements

Document the reason for the culture and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists may require additional laboratory 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 and its complications, 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 and its complications, 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 are the common symptoms of sporotrichosis arthritis?

Common symptoms include joint pain, swelling, and sometimes systemic symptoms like fever and malaise. The symptoms can vary based on the patient's immune status.