ICD-10 Code B37.49 | Other urogenital candidiasis Symptoms, Diagnosis, Billing

Other urogenital candidiasis is a fungal infection caused by Candida species, primarily affecting the urogenital tract. It is clinically significant due to its potential to cause discomfort, inflammation, and complications in affected individuals. Accurate coding with ICD-10 Code B37.49 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and management of this condition.

What is ICD-10 Code B37.49 for Other urogenital candidiasis?

ICD-10 Code B37.49 represents Other urogenital candidiasis, a condition characterized by fungal infections in the urogenital area not classified elsewhere. This code is used when documenting cases of candidiasis that do not fit into more specific categories, ensuring accurate clinical documentation and appropriate billing for healthcare services rendered.

ICD-10 Code B37.49 – Clinical Definition and Explanation of Other urogenital candidiasis

Other urogenital candidiasis is primarily caused by an overgrowth of Candida species, often due to factors such as antibiotic use, hormonal changes, or immunosuppression. It can lead to significant discomfort and requires medical attention to prevent complications.

Key Clinical Features:

• Vaginal itching and irritation
• Abnormal discharge, often white and clumpy
• Dysuria or pain during urination
• Erythema and swelling of the genital area

ICD-10 Code B37.49 for Other urogenital candidiasis – SOAP Notes & Clinical Use

ICD-10 Code B37.49 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Other urogenital candidiasis. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code B37.49 for Other urogenital candidiasis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B37.49 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Other urogenital candidiasis. This coding supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B37.49 – Other urogenital candidiasis

Prompt treatment of Other urogenital candidiasis is essential to alleviate symptoms and prevent complications. Antifungal therapy is typically required.

Antibiotic Therapy:

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

Supportive Care:

• Maintain proper hygiene and avoid irritants
• Wear breathable cotton underwear
• Avoid douching and scented products in the genital area

Infection Control:

• Educate patients on hygiene practices to prevent recurrence
• Advise on safe sexual practices to reduce transmission risk
• Monitor for signs of recurrent infections, especially in immunocompromised individuals

How to Document Symptoms of Other urogenital candidiasis (ICD-10 B37.49) in SOAP Notes

Subjective:

• Patient reports vaginal itching and burning sensation
• History of recent antibiotic use
• Complaints of abnormal white discharge
• Denies fever or systemic symptoms

Objective:

• Physical examination reveals erythema and edema of the vulva
• Presence of thick, white discharge on examination
• No signs of systemic infection noted
• Vital signs within normal limits

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SOAP Note Guidelines for Diagnosing Other urogenital candidiasis (ICD-10 Code B37.49)

Assessment:

• Diagnosis: Other urogenital candidiasis, mild severity
• ICD-10 Code: B37.49
• Contributing factors: Recent antibiotic therapy, possible hormonal changes
• No evidence of systemic infection noted

Plan:

• Initiate treatment with fluconazole 150 mg orally
• Educate patient on hygiene and prevention strategies
• Schedule follow-up in one week to assess treatment response
• Consider referral to a specialist if symptoms persist

Treatment & Plan Section for ICD-10 Code B37.49 – Other urogenital candidiasis

• First-line treatment with fluconazole or topical antifungals
• Patient education on hygiene practices and symptom management
• Monitoring for treatment efficacy and recurrence
• Follow-up appointments to reassess and adjust treatment as necessary

Using ICD-10 Code B37.49 for Other urogenital candidiasis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and treatment in SOAP notes
• Use B37.49 for cases of candidiasis not classified elsewhere
• Align treatment plans with clinical guidelines to support billing
• Include relevant CPT codes for services rendered alongside B37.49

Related ICD-10 Codes Often Used with Other urogenital candidiasis

• B37.3 – Candidiasis of the vulva and vagina
• B37.9 – Candidiasis, unspecified

ICD-10 Code B37.49 in Medical Billing and Insurance for Other urogenital candidiasis

ICD-10 Code B37.49 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate claims processing.

Billing Notes:

• Document all relevant patient history and treatment details to support claims
• Use B37.49 in conjunction with specific symptoms and treatment codes
• Ensure compliance with payer requirements for documentation
• Review coding guidelines regularly to maintain accuracy

Common CPT Pairings: