ICD-10 title: Chromomycosis
ICD-10 B43 is a billable code used to indicate a diagnosis of icd-10 title: chromomycosis.
Chromomycosis is a chronic fungal infection of the skin and subcutaneous tissues caused primarily by dematiaceous fungi, such as Fonsecaea pedrosoi, Cladophialophora carrionii, and Phialophora verrucosa. This condition is characterized by the formation of nodular lesions, which can progress to ulceration and scarring if left untreated. Chromomycosis is often seen in tropical and subtropical regions, where the fungi thrive in soil and decaying vegetation. The infection typically occurs following trauma to the skin, allowing the fungi to enter the body. Patients with compromised immune systems, such as those with HIV/AIDS, diabetes, or undergoing immunosuppressive therapy, are at a higher risk for developing severe forms of chromomycosis. Diagnosis is usually made through clinical examination and confirmed by histopathological examination or culture of the organism. Treatment involves antifungal medications, such as itraconazole or terbinafine, and in some cases, surgical intervention may be necessary to remove infected tissue. Early diagnosis and appropriate management are crucial to prevent complications and improve patient outcomes.
Detailed patient history, including immunocompromised status and previous infections.
Patients presenting with chronic skin lesions, particularly in endemic areas.
Documentation of laboratory results confirming the fungal organism is crucial for accurate coding.
Photographic evidence of lesions and detailed descriptions of clinical findings.
Patients with chronic dermatitis-like symptoms that do not respond to standard treatments.
Differentiating chromomycosis from other dermatological conditions is essential for accurate coding.
Used when a biopsy is performed to confirm chromomycosis.
Document the reason for the biopsy and the findings.
Dermatologists should ensure that the biopsy results are linked to the diagnosis.
Chromomycosis is primarily caused by dematiaceous fungi, which are found in soil and decaying vegetation. The most common species include Fonsecaea pedrosoi, Cladophialophora carrionii, and Phialophora verrucosa.
Diagnosis is typically made through clinical examination, supported by histopathological examination or culture of the organism. A thorough patient history is also essential.
Treatment usually involves antifungal medications such as itraconazole or terbinafine. In some cases, surgical intervention may be necessary to remove infected tissue.
