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ICD-10 Code B36.1 | Tinea nigra Symptoms, Diagnosis, Billing

Tinea nigra is a superficial fungal infection caused by the organism Hortaea werneckii, characterized by dark brown to black patches on the palms or soles. It is clinically significant as it can be mistaken for other skin conditions, necessitating accurate diagnosis and documentation. The ICD-10 Code B36.1 facilitates precise coding for billing and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code B36.1 for Tinea nigra?

ICD-10 Code B36.1 represents Tinea nigra, a fungal skin infection primarily affecting the palms and soles. This code should be used when documenting cases of Tinea nigra to ensure accurate billing and clinical records. It is essential for distinguishing this condition from other dermatological issues, thereby guiding appropriate treatment and management.

ICD-10 Code B36.1 – Clinical Definition and Explanation of Tinea nigra

Tinea nigra is caused by the dematiaceous fungus Hortaea werneckii, which leads to the development of non-scaly, pigmented lesions on the skin. The condition is typically benign but requires medical attention to confirm diagnosis and rule out other skin disorders. Prompt identification is crucial for effective management.

Key Clinical Features:

  • Dark brown to black macules or patches on palms or soles
  • Non-scaly, well-defined lesions
  • Asymptomatic or mild pruritus
  • Common in tropical and subtropical regions

ICD-10 Code B36.1 for Tinea nigra – SOAP Notes & Clinical Use

ICD-10 Code B36.1 is utilized in SOAP notes to document the presence of Tinea nigra, 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 B36.1 for Tinea nigra Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B36.1 connects subjective patient reports and objective clinical findings to a formal diagnosis of Tinea nigra. This code supports continuity of care, facilitates billing processes, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B36.1 – Tinea nigra

Tinea nigra requires appropriate antifungal treatment to resolve the infection and prevent recurrence. While hospitalization is rarely necessary, timely intervention is important.

Antibiotic Therapy:

  • First-line: Topical antifungals (e.g., clotrimazole, miconazole) for 2-4 weeks
  • Alternative: Oral antifungals (e.g., itraconazole) in severe cases

Supportive Care:

  • Keep affected areas clean and dry
  • Avoid occlusive dressings
  • Educate patients on hygiene practices

Infection Control:

  • No specific precautions needed as Tinea nigra is not contagious
  • Educate patients on personal hygiene to prevent recurrence

How to Document Symptoms of Tinea nigra (ICD-10 B36.1) in SOAP Notes

Subjective:

  • Patient reports dark patches on palms for several weeks
  • No associated pain or itching noted
  • Denies recent travel to endemic areas
  • No history of skin conditions

Objective:

  • Well-defined, dark brown patches on palms
  • No signs of inflammation or scaling
  • Skin intact without secondary infections
  • No lymphadenopathy observed
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SOAP Note Guidelines for Diagnosing Tinea nigra (ICD-10 Code B36.1)

Assessment:

  • Diagnosis: Tinea nigra, mild severity
  • ICD-10 Code: B36.1
  • Contributing factors: Exposure to contaminated soil or vegetation
  • No known allergies

Plan:

  • Initiate topical antifungal treatment
  • Educate patient on hygiene and skin care
  • Schedule follow-up in 4 weeks to assess treatment response
  • Monitor for any signs of recurrence

Treatment & Plan Section for ICD-10 Code B36.1 – Tinea nigra

  • First-line treatment includes topical antifungals for 2-4 weeks
  • Patient education on skin hygiene is essential
  • Follow-up appointments to monitor treatment efficacy
  • Consider referral to dermatology if lesions persist

Using ICD-10 Code B36.1 for Tinea nigra in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings
  • Use B36.1 for all cases of Tinea nigra to support billing
  • Align treatment plans with clinical guidelines for justified billing
  • Include relevant CPT codes for services rendered

ICD-10 Code B36.1 in Medical Billing and Insurance for Tinea nigra

ICD-10 Code B36.1 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all patient encounters thoroughly to support claims
  • Use B36.1 in conjunction with relevant clinical findings
  • Ensure coding aligns with treatment provided for compliance
  • Review payer guidelines for specific documentation requirements

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity
17000Destruction of benign skin lesions, up to 14 lesions
11100Biopsy of skin, subcutaneous tissue, and/or mucous membrane

Frequently Asked Questions

Common Questions About Using ICD-10 Code B36.1 for Tinea nigra

Is Tinea nigra contagious?

No, Tinea nigra is not contagious. It is caused by a fungal organism that typically resides in soil and vegetation, and it does not spread from person to person.

What are the treatment options for Tinea nigra?

Treatment for Tinea nigra usually involves topical antifungal medications. In more severe cases, oral antifungals may be prescribed. Maintaining good hygiene is also important to prevent recurrence.

How is Tinea nigra diagnosed?

Diagnosis of Tinea nigra is primarily clinical, based on the appearance of the lesions. A skin scraping may be performed to confirm the presence of the fungus under a microscope.

What should I document in the SOAP notes for Tinea nigra?

In SOAP notes, document the patient's symptoms, clinical findings, and treatment plan. Use ICD-10 Code B36.1 to ensure accurate coding and billing.

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