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v1.0.0
ICD-10 Guide
ICD-10 CodesB43.8

B43.8

Other forms of candidiasis

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

Code Description

ICD-10 B43.8 is a billable code used to indicate a diagnosis of other forms of candidiasis.

Key Diagnostic Point:

Candidiasis is a fungal infection caused by yeasts of the genus Candida, with Candida albicans being the most common species. While many people carry Candida in their bodies without any issues, certain conditions can lead to overgrowth, resulting in infections. Other forms of candidiasis, classified under code B43.8, encompass various manifestations of Candida infections that do not fall under the more commonly recognized types, such as oropharyngeal or vaginal candidiasis. These can include systemic infections, cutaneous candidiasis, and infections in atypical sites. Patients who are immunocompromised, such as those with HIV/AIDS, cancer, or those undergoing immunosuppressive therapy, are at a heightened risk for developing severe forms of candidiasis. Symptoms can vary widely depending on the site of infection and may include skin rashes, oral thrush, or systemic symptoms like fever and chills. Treatment typically involves antifungal medications, which may include azoles, echinocandins, or polyenes, depending on the severity and location of the infection. Early diagnosis and appropriate treatment are crucial to prevent complications, particularly in vulnerable populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations requiring specific documentation.
  • Differentiation from other fungal infections.
  • Need for detailed patient history, especially regarding immunocompromised status.
  • Potential for co-infections that complicate coding.

Audit Risk Factors

  • Inadequate documentation of the specific type of candidiasis.
  • Failure to document immunocompromised status.
  • Misclassification of candidiasis as a different fungal infection.
  • Lack of supporting clinical evidence for antifungal treatment.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on the type of candidiasis, treatment response, and patient history.

Common Clinical Scenarios

Patients presenting with recurrent infections, particularly in immunocompromised individuals.

Billing Considerations

Documentation must clearly indicate the site of infection and any underlying conditions.

Dermatology

Documentation Requirements

Photographic evidence of skin lesions and detailed descriptions of symptoms.

Common Clinical Scenarios

Patients with cutaneous candidiasis presenting with rashes or lesions.

Billing Considerations

Differentiation from other dermatological conditions is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use B43.8 When
  • According to ICD
  • 10 guidelines, B43
  • 8 should be used when the specific type of candidiasis is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that any underlying conditions are noted

Exclusion Criteria

Do NOT use B43.8 When
No specific exclusions found.

Related CPT Codes

87481CPT Code

Candidiasis testing (culture)

Clinical Scenario

Used when a patient presents with symptoms of candidiasis and requires laboratory confirmation.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists may require additional details on 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 candidiasis, enabling better tracking of infection types and improving treatment outcomes through targeted therapies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of candidiasis, enabling better tracking of infection types and improving treatment outcomes through targeted therapies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of candidiasis, enabling better tracking of infection types and improving treatment outcomes through targeted therapies.

Resources

Clinical References

  • •
    CDC - Candidiasis

Coding & Billing References

  • •
    CDC - Candidiasis

Frequently Asked Questions

What are the common symptoms of candidiasis?

Common symptoms include itching, redness, and discharge in cases of vaginal candidiasis, white patches in the mouth for oral thrush, and skin rashes for cutaneous candidiasis. Systemic candidiasis may present with fever and chills.

How is candidiasis treated?

Treatment typically involves antifungal medications such as fluconazole, itraconazole, or amphotericin B, depending on the severity and location of the infection.

Who is at risk for developing candidiasis?

Individuals who are immunocompromised, such as those with HIV/AIDS, cancer patients, or those on immunosuppressive therapy, are at a higher risk for developing candidiasis.