ICD-10 Code B37.3 | Candidiasis of vulva and vagina Symptoms, Diagnosis, Billing

Candidiasis of the vulva and vagina is a fungal infection caused primarily by Candida species, particularly Candida albicans. This condition is clinically significant due to its prevalence among women, often presenting with symptoms such as itching, burning, and abnormal discharge. Accurate coding with ICD-10 Code B37.3 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this common condition.

What is ICD-10 Code B37.3 for Candidiasis of vulva and vagina?

ICD-10 Code B37.3 represents Candidiasis of the vulva and vagina, a common fungal infection characterized by inflammation and irritation in these areas. This code should be used when documenting cases of vulvovaginal candidiasis, particularly when patients present with symptoms such as pruritus, discharge, and discomfort. Accurate use of this code in clinical documentation and billing is crucial for appropriate treatment and reimbursement.

ICD-10 Code B37.3 – Clinical Definition and Explanation of Candidiasis of vulva and vagina

Candidiasis of the vulva and vagina is primarily caused by an overgrowth of Candida species, often triggered by factors such as antibiotic use, hormonal changes, or immunosuppression. The condition can lead to significant discomfort and requires medical attention to prevent complications.

Key Clinical Features:

• Itching and irritation in the vulvar and vaginal areas.
• Thick, white vaginal discharge resembling cottage cheese.
• Redness and swelling of the vulva.
• Pain during intercourse or urination.

ICD-10 Code B37.3 for Candidiasis of vulva and vagina – SOAP Notes & Clinical Use

ICD-10 Code B37.3 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans for candidiasis of the vulva and vagina. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code B37.3 for Candidiasis of vulva and vagina Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B37.3 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis. This code plays a vital role in ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B37.3 – Candidiasis of vulva and vagina

Candidiasis of the vulva and vagina may require prompt treatment to alleviate symptoms and prevent recurrence. Hospitalization may be necessary in severe cases or for patients with underlying health issues.

Antibiotic Therapy:

• Fluconazole 150 mg orally as a single dose.
• Itraconazole 200 mg orally for 3 days.
• Topical antifungals such as clotrimazole or miconazole for 7 days.

Supportive Care:

• Maintain proper hygiene and avoid irritants.
• Wear loose-fitting, breathable clothing.
• Use over-the-counter antifungal creams as needed.

Infection Control:

• Educate patients on avoiding douching and irritants.
• Encourage partners to seek treatment if symptomatic.
• Implement hygiene practices to prevent recurrence.

How to Document Symptoms of Candidiasis of vulva and vagina (ICD-10 B37.3) in SOAP Notes

Subjective:

• Patient reports intense itching and burning in the vaginal area.
• History of recurrent yeast infections.
• Noticed thick, white discharge over the past week.
• Symptoms worsened after recent antibiotic use.

Objective:

• Vulvar erythema and edema observed on examination.
• White, curd-like discharge noted during pelvic exam.
• No signs of other infections or STIs.
• Vital signs within normal limits.

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SOAP Note Guidelines for Diagnosing Candidiasis of vulva and vagina (ICD-10 Code B37.3)

Assessment:

• Candidiasis of vulva and vagina, moderate severity.
• ICD-10 Code B37.3.
• Recent antibiotic use identified as a contributing factor.
• No evidence of other underlying conditions.

Plan:

• Prescribe fluconazole 150 mg orally as a single dose.
• Educate patient on proper hygiene and avoidance of irritants.
• Schedule follow-up appointment in one week to assess treatment response.
• Consider referral to a specialist if symptoms persist.

Treatment & Plan Section for ICD-10 Code B37.3 – Candidiasis of vulva and vagina

• First-line treatment includes fluconazole or topical antifungals.
• Encourage lifestyle modifications to prevent recurrence.
• Monitor symptoms and treatment efficacy during follow-up visits.
• Educate on the importance of completing the full course of treatment.

Using ICD-10 Code B37.3 for Candidiasis of vulva and vagina in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and treatment in SOAP notes.
• Use B37.3 in appropriate clinical settings, including outpatient and inpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant patient history and contributing factors in documentation.

Related ICD-10 Codes Often Used with Candidiasis of vulva and vagina

• B37.0 – Candidiasis of mouth and throat
• B37.1 – Candidiasis of skin
• B37.2 – Candidiasis of other sites
• B37.9 – Candidiasis, unspecified

ICD-10 Code B37.3 in Medical Billing and Insurance for Candidiasis of vulva and vagina

ICD-10 Code B37.3 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and presenting symptoms to support the claim.
• Use B37.3 in conjunction with other codes for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.
• Follow payer-specific guidelines for coding and billing.

Common CPT Pairings: