ICD-10 Code B36.2 | White piedra Symptoms, Diagnosis, Billing

White piedra is a fungal infection characterized by the formation of soft, white nodules on hair shafts, primarily affecting the scalp, beard, and pubic hair. It is caused by the fungus Trichosporon, which can lead to cosmetic concerns and potential secondary infections. Accurate documentation using ICD-10 Code B36.2 is essential for proper diagnosis, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B36.2 for White piedra?

ICD-10 Code B36.2 specifically represents White piedra, a superficial fungal infection caused by Trichosporon species. This code should be used in clinical documentation when diagnosing patients with this condition, particularly when symptoms such as white nodules on hair are present. Proper coding is crucial for accurate billing and to facilitate appropriate treatment and management strategies.

ICD-10 Code B36.2 – Clinical Definition and Explanation of White piedra

White piedra is caused by the yeast-like fungus Trichosporon, which infects hair shafts, leading to the formation of soft, white nodules. The condition is often benign but can cause distress due to its cosmetic implications. Medical attention is required to prevent secondary infections and to manage symptoms effectively.

Key Clinical Features:

• Presence of soft, white nodules on hair shafts.
• Commonly affects scalp, beard, and pubic hair.
• May cause hair breakage or loss.
• Typically asymptomatic but can lead to secondary infections.

ICD-10 Code B36.2 for White piedra – SOAP Notes & Clinical Use

ICD-10 Code B36.2 is utilized in SOAP notes to document the presence of White piedra, aiding in the assessment of symptoms, diagnosis, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B36.2 for White piedra Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B36.2 connects subjective patient reports of symptoms with objective clinical findings, facilitating a formal diagnosis of White piedra. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B36.2 – White piedra

Management of White piedra typically involves antifungal treatment and supportive care to alleviate symptoms and prevent complications.

Antibiotic Therapy:

• First-line: Topical antifungals such as ketoconazole or clotrimazole for 2-4 weeks.
• Alternative: Oral antifungals like itraconazole may be considered in severe cases.

Supportive Care:

• Regular washing of affected areas with antifungal shampoo.
• Avoidance of tight hairstyles to reduce hair breakage.
• Education on hygiene practices to prevent recurrence.

Infection Control:

• Avoid sharing personal items such as combs and towels.
• Educate patients on the importance of personal hygiene.
• Monitor for potential outbreaks in communal living situations.

How to Document Symptoms of White piedra (ICD-10 B36.2) in SOAP Notes

Subjective:

• Patient reports soft, white nodules on scalp and beard.
• No associated itching or pain noted.
• History of similar symptoms in the past.
• Denies recent travel or exposure to infected individuals.

Objective:

• Physical examination reveals multiple white nodules on hair shafts.
• No signs of inflammation or secondary infection.
• Hair loss observed in areas with nodules.
• Vital signs within normal limits.

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SOAP Note Guidelines for Diagnosing White piedra (ICD-10 Code B36.2)

Assessment:

• Diagnosis: White piedra, mild severity.
• ICD-10 Code: B36.2.
• Contributing factors: Poor hygiene practices.
• No known allergies reported.

Plan:

• Initiate treatment with topical antifungal therapy.
• Educate patient on hygiene and care of affected areas.
• Schedule follow-up in 4 weeks to assess treatment response.
• Consider referral to dermatology if no improvement.

Treatment & Plan Section for ICD-10 Code B36.2 – White piedra

• Prescribe topical antifungal agents for effective treatment.
• Implement hygiene education to prevent recurrence.
• Monitor treatment efficacy through follow-up appointments.
• Encourage patient to report any new symptoms or concerns.

Using ICD-10 Code B36.2 for White piedra in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use B36.2 in appropriate clinical settings for billing purposes.
• Align treatment plans with clinical guidelines for justified billing.
• Document any relevant patient history that supports the diagnosis.

Related ICD-10 Codes Often Used with White piedra

• B36.0 – Tinea Versicolor
• B36.1 – Tinea Capitis
• B36.3 – Tinea Corporis
• B36.9 – Superficial Mycosis, Unspecified

ICD-10 Code B36.2 in Medical Billing and Insurance for White piedra

ICD-10 Code B36.2 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings to support the use of B36.2.
• Use this code in outpatient and inpatient settings as appropriate.
• Ensure that treatment plans are clearly outlined in the patient's chart.
• Include patient education efforts in documentation for comprehensive care.

Common CPT Pairings: