ICD-10 Code B36.0 | Pityriasis versicolor Symptoms, Diagnosis, Billing

Pityriasis versicolor is a common skin condition caused by an overgrowth of Malassezia yeast, leading to discolored patches on the skin. It is clinically significant due to its potential to cause cosmetic concerns and misdiagnosis. The ICD-10 Code B36.0 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and treatment.

What is ICD-10 Code B36.0 for Pityriasis versicolor?

ICD-10 Code B36.0 represents Pityriasis versicolor, a fungal skin condition characterized by hypopigmented or hyperpigmented macules and patches. This code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring proper treatment and management strategies are implemented.

ICD-10 Code B36.0 – Clinical Definition and Explanation of Pityriasis versicolor

Pityriasis versicolor is caused by an imbalance in the skin's normal flora, particularly the Malassezia yeast, which can lead to skin discoloration. It typically presents as asymptomatic patches that may become more noticeable with sun exposure. Medical attention is necessary to confirm diagnosis and initiate treatment.

Key Clinical Features:

• Asymptomatic or mildly itchy skin lesions
• Discolored patches that may be lighter or darker than surrounding skin
• Commonly affects the trunk, shoulders, and upper arms
• More prevalent in warm, humid climates

ICD-10 Code B36.0 for Pityriasis versicolor – SOAP Notes & Clinical Use

ICD-10 Code B36.0 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive care and accurate billing.

What Does ICD-10 Code B36.0 for Pityriasis versicolor Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B36.0 connects subjective patient-reported symptoms with objective clinical findings, leading to a formal diagnosis. This code supports continuity of care, facilitates billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B36.0 – Pityriasis versicolor

Pityriasis versicolor requires appropriate treatment to manage symptoms and prevent recurrence. Antifungal therapies are the primary treatment approach.

Antibiotic Therapy:

• First-line: Topical antifungals (e.g., ketoconazole, clotrimazole) for 2-4 weeks
• Alternative: Oral antifungals (e.g., fluconazole) for 1-2 doses

Supportive Care:

• Use of medicated shampoos containing selenium sulfide or zinc pyrithione
• Avoidance of excessive heat and humidity
• Regular skin care to maintain skin health

Infection Control:

• Educate patients on the non-contagious nature of the condition
• Encourage personal hygiene practices to minimize recurrence
• Monitor for potential outbreaks in communal living situations

How to Document Symptoms of Pityriasis versicolor (ICD-10 B36.0) in SOAP Notes

Subjective:

• Patient reports asymptomatic skin discoloration on the trunk and shoulders
• History of similar episodes in warm weather
• No associated itching or pain
• Patient expresses concern about cosmetic appearance

Objective:

• Physical examination reveals multiple hypopigmented patches on the upper back
• No signs of inflammation or secondary infection
• Skin scraping shows presence of Malassezia yeast
• Vital signs within normal limits

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SOAP Note Guidelines for Diagnosing Pityriasis versicolor (ICD-10 Code B36.0)

Assessment:

• Diagnosis: Pityriasis versicolor, mild severity
• ICD-10 Code: B36.0
• Contributing factors: Warm, humid climate; history of previous episodes
• No evidence of secondary infection

Plan:

• Initiate treatment with topical antifungal therapy
• Educate patient on skin care and prevention strategies
• Schedule follow-up appointment in 4 weeks to assess treatment response
• Consider oral antifungal if no improvement

Treatment & Plan Section for ICD-10 Code B36.0 – Pityriasis versicolor

• First-line treatment includes topical antifungals such as ketoconazole or clotrimazole.
• Non-pharmacologic strategies include lifestyle modifications to reduce humidity exposure.
• Monitoring includes follow-up visits to assess treatment efficacy and recurrence.
• Patient education on skin care and prevention of future outbreaks is essential.

Using ICD-10 Code B36.0 for Pityriasis versicolor in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings and documentation.
• Ensure Subjective (S) and Objective (O) sections clearly reflect the diagnosis.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond with the services provided.

Related ICD-10 Codes Often Used with Pityriasis versicolor

• B36.1 – Tinea Versicolor, unspecified

ICD-10 Code B36.0 in Medical Billing and Insurance for Pityriasis versicolor

ICD-10 Code B36.0 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis.
• Use the code in conjunction with appropriate CPT codes for billing.
• Ensure documentation reflects the severity and treatment plan for compliance.
• Review payer-specific guidelines for coding and billing requirements.

Common CPT Pairings: