ICD-10 Code B36.3 | Black piedra Symptoms, Diagnosis, Billing

Black piedra is a fungal infection caused by the organism Piedraia hortae, primarily affecting the hair shafts. It is characterized by the formation of dark, hard nodules on the hair, leading to cosmetic concerns and potential hair loss. Accurate coding with ICD-10 Code B36.3 is essential for proper diagnosis, documentation, and billing, facilitating effective treatment and public health reporting.

What is ICD-10 Code B36.3 for Black piedra?

ICD-10 Code B36.3 represents Black piedra, a superficial fungal infection of the hair caused by Piedraia hortae. This code should be used when documenting cases of Black piedra in clinical settings, ensuring accurate billing and facilitating appropriate treatment plans for affected patients.

ICD-10 Code B36.3 – Clinical Definition and Explanation of Black piedra

Black piedra is caused by the fungus Piedraia hortae, which invades the hair shaft, leading to the formation of dark, hard nodules. The condition is typically benign but can cause psychological distress due to its appearance. Medical attention is necessary to prevent complications and manage symptoms effectively.

Key Clinical Features:

• Presence of dark, hard nodules on hair shafts.
• Commonly affects scalp hair but can involve other body hair.
• May lead to hair breakage or loss.
• More prevalent in tropical and subtropical climates.

ICD-10 Code B36.3 for Black piedra – SOAP Notes & Clinical Use

ICD-10 Code B36.3 is utilized in SOAP notes to document the presence of Black 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 B36.3 for Black piedra Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B36.3 connects subjective reports of symptoms with objective clinical findings, facilitating a formal diagnosis of Black piedra. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B36.3 – Black piedra

Prompt treatment of Black piedra is essential to alleviate symptoms and prevent further complications. Antifungal therapy is typically indicated.

Antibiotic Therapy:

• First-line: Topical antifungal agents such as ketoconazole or miconazole.
• Alternative: Oral antifungal medications may be considered in severe cases.

Supportive Care:

• Regular washing of hair with antifungal shampoo.
• Avoidance of tight hairstyles that may exacerbate hair breakage.
• Education on hygiene practices to prevent recurrence.

Infection Control:

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

How to Document Symptoms of Black piedra (ICD-10 B36.3) in SOAP Notes

Subjective:

• Patient reports dark nodules on hair shafts.
• Complaints of hair breakage and cosmetic concerns.
• History of exposure to humid environments.
• No associated itching or pain reported.

Objective:

• Physical examination reveals multiple dark nodules on scalp hair.
• No signs of inflammation or secondary infection.
• Hair loss noted in areas affected by nodules.
• No systemic symptoms observed.

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SOAP Note Guidelines for Diagnosing Black piedra (ICD-10 Code B36.3)

Assessment:

• Diagnosis: Black piedra, mild severity.
• ICD-10 Code: B36.3.
• Contributing factors: Exposure to humid environments.
• No known allergies or comorbidities affecting treatment.

Plan:

• Initiate treatment with topical antifungal agents.
• Educate patient on hygiene practices and hair care.
• Schedule follow-up appointment in 4 weeks to assess treatment response.
• Monitor for any signs of recurrence or complications.

Treatment & Plan Section for ICD-10 Code B36.3 – Black piedra

• Topical antifungal therapy as first-line treatment.
• Patient education on hygiene and hair care practices.
• Regular follow-up to monitor treatment efficacy.
• Consider referral to a dermatologist if symptoms persist.

Using ICD-10 Code B36.3 for Black piedra in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use B36.3 in appropriate clinical settings for billing purposes.
• Align treatment plans with clinical guidelines to support billing.
• Document any relevant comorbidities or complications.

Related ICD-10 Codes Often Used with Black piedra

• B36.0 – Tinea nigra
• B36.1 – Tinea capitis
• B36.2 – Tinea corporis

ICD-10 Code B36.3 in Medical Billing and Insurance for Black piedra

ICD-10 Code B36.3 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the use of B36.3.
• Ensure the code is used in appropriate clinical contexts for billing.
• Include patient education and follow-up plans in documentation.
• Maintain compliance with EHR documentation standards.

Common CPT Pairings: