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ICD-10 Code B35.5 | Tinea imbricata Symptoms, Diagnosis, Billing

Tinea imbricata is a superficial fungal infection caused by dermatophytes, primarily affecting the skin. It is characterized by annular, scaly lesions that may be itchy and can lead to secondary infections if untreated. Accurate coding with ICD-10 Code B35.5 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code B35.5 for Tinea imbricata?

ICD-10 Code B35.5 specifically represents Tinea imbricata, a dermatophyte infection that manifests as ring-shaped lesions on the skin. This code should be used in clinical documentation when diagnosing patients with this condition, facilitating appropriate treatment and billing processes. It is crucial for healthcare providers to utilize this code to ensure accurate representation of the patient's condition and to support healthcare analytics.

ICD-10 Code B35.5 – Clinical Definition and Explanation of Tinea imbricata

Tinea imbricata is primarily caused by the dermatophyte Trichophyton concentricum, often found in tropical regions. The condition can progress to involve extensive areas of the skin, leading to discomfort and potential complications. Medical attention is necessary to prevent secondary infections and to initiate appropriate antifungal therapy.

Key Clinical Features:

  • Annular, scaly lesions with raised borders
  • Itching and discomfort in affected areas
  • Possible secondary bacterial infections
  • Common in tropical and subtropical climates

ICD-10 Code B35.5 for Tinea imbricata – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B35.5 is utilized to document the diagnosis of Tinea imbricata, aiding in the assessment of symptoms and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code B35.5 for Tinea imbricata Mean in SOAP Notes?

ICD-10 Code B35.5 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Tinea imbricata. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B35.5 – Tinea imbricata

Tinea imbricata requires prompt treatment to alleviate symptoms and prevent complications. Antifungal therapy is the primary treatment approach.

Antibiotic Therapy:

  • Terbinafine 250 mg orally daily for 2-4 weeks
  • Itraconazole 200 mg orally daily for 1-2 weeks
  • Fluconazole 150 mg orally weekly for 2-4 weeks

Supportive Care:

  • Topical antifungal creams for localized lesions
  • Keeping the affected area clean and dry
  • Avoiding tight clothing to reduce irritation

Infection Control:

  • Educating patients on hygiene practices
  • Avoiding sharing personal items like towels
  • Monitoring for outbreaks in communal settings

How to Document Symptoms of Tinea imbricata (ICD-10 B35.5) in SOAP Notes

Subjective:

  • Patient reports itchy, scaly lesions on the skin
  • History of exposure to infected individuals
  • Symptoms worsening over the past few weeks
  • No known allergies to antifungal medications

Objective:

  • Annular lesions with raised borders observed on examination
  • No signs of secondary bacterial infection
  • Vital signs within normal limits
  • Skin scraping shows fungal hyphae under microscopy
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SOAP Note Guidelines for Diagnosing Tinea imbricata (ICD-10 Code B35.5)

Assessment:

  • Diagnosis: Tinea imbricata, mild severity
  • ICD-10 Code: B35.5
  • Contributing factors: Recent travel to tropical region
  • No known comorbidities affecting treatment

Plan:

  • Initiate oral terbinafine therapy for 4 weeks
  • Educate patient on proper skin care and hygiene
  • Schedule follow-up appointment in 4 weeks to assess treatment response
  • Consider referral to dermatology if no improvement

Treatment & Plan Section for ICD-10 Code B35.5 – Tinea imbricata

  • First-line treatment includes oral antifungals such as terbinafine or itraconazole.
  • Non-pharmacologic strategies include maintaining skin hygiene and avoiding irritants.
  • Monitoring for treatment efficacy should include follow-up visits and skin assessments.
  • Patient education on recognizing symptoms and preventing recurrence is essential.

Using ICD-10 Code B35.5 for Tinea imbricata in Billing & SOAP Note Compliance

  • Select appropriate ICD-10 code based on clinical presentation and severity.
  • Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
  • Ensure treatment plans align with clinical guidelines to support justified billing.
  • Commonly billed CPT codes include office visit codes for evaluation and management.

ICD-10 Code B35.5 in Medical Billing and Insurance for Tinea imbricata

ICD-10 Code B35.5 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

  • Document the diagnosis clearly in the patient's chart to support the claim.
  • Use this code in conjunction with relevant CPT codes for comprehensive billing.
  • Ensure that all clinical findings are well-documented to justify the use of this code.
  • Review payer-specific guidelines for any additional documentation requirements.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, level 3
99214Established patient office visit, level 4
11100Biopsy of skin, subcutaneous tissue
17000Destruction of benign skin lesions
99203New patient office visit, level 3

Frequently Asked Questions

Common Questions About Using ICD-10 Code B35.5 for Tinea imbricata

What are the common symptoms of Tinea imbricata?

Common symptoms include itchy, scaly, ring-shaped lesions on the skin, often with raised borders. Patients may also experience discomfort and irritation in the affected areas.

How is Tinea imbricata treated?

Treatment typically involves oral antifungal medications such as terbinafine or itraconazole, along with supportive care to manage symptoms and prevent secondary infections.

Is Tinea imbricata contagious?

Yes, Tinea imbricata is contagious and can spread through direct contact with infected individuals or contaminated surfaces. Good hygiene practices are essential to prevent transmission.

When should I seek medical attention for Tinea imbricata?

Medical attention should be sought if symptoms worsen, if there is no improvement with over-the-counter treatments, or if secondary infections develop.

What is the importance of accurate coding for Tinea imbricata?

Accurate coding with ICD-10 Code B35.5 is crucial for proper diagnosis, treatment planning, billing, and public health reporting, ensuring effective management of the condition.

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