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B37.2
ICD-10-CM
Candidal Diaper Rash

Learn about Candidal Diaper Rash (Diaper Candidiasis), a common yeast diaper rash. This resource provides information on diagnosis, clinical documentation, and medical coding for healthcare professionals using ICD-10 codes and SNOMED CT terminology relevant to diaper candidiasis. Find details on treatment, prevention, and parent education for yeast infections in infants.

Also known as

Diaper Candidiasis
Yeast Diaper Rash

Diagnosis Snapshot

Key Facts
  • Definition : Fungal infection of the diaper area caused by Candida species (typically C. albicans).
  • Clinical Signs : Bright red rash with sharply defined borders, satellite lesions, and possible skin breakdown in diaper area.
  • Common Settings : Infants and toddlers wearing diapers, especially with prolonged wetness or antibiotic use.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC B37.2 Coding
B37.89

Other superficial candidiasis

This code encompasses candidiasis affecting skin and mucous membranes, including diaper rash.

L29.0

Pruritus ani

While not specific to candidiasis, this code can be used if itching is a prominent symptom.

L30.9

Dermatitis, unspecified

A general code for inflammation of the skin, applicable if a more specific candidiasis code isn't suitable.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the diaper rash confirmed as candidal?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Yeast infection in diaper area.
Skin irritation from diaper contact.
Bacterial skin infection.

Documentation Best Practices

Documentation Checklist
  • Document presence of beefy red rash in diaper area
  • Note satellite lesions or pustules
  • Confirm with KOH prep if needed
  • Rule out bacterial diaper rash
  • Document treatment with antifungal cream

Coding and Audit Risks

Common Risks
  • Unspecified Site

    Coding diaper rash without specifying the affected area (e.g., buttocks, genitalia) can lead to claim rejections. Proper documentation is crucial for accurate ICD-10 coding (e.g., B37.81).

  • Conflicting Documentation

    Discrepancies between clinical findings and the documented diagnosis of candidal diaper rash may cause coding errors and compliance issues. Clear, consistent documentation is essential for accurate medical coding.

  • Lack of Confirmation

    Coding candidal diaper rash without documented diagnostic confirmation (e.g., KOH test) can lead to denials. Supporting evidence strengthens coding accuracy and prevents audit risks.

Mitigation Tips

Best Practices
  • Frequent diaper changes, keep area dry
  • Apply antifungal cream (nystatin, clotrimazole) as directed
  • Avoid tight diapers, opt for breathable fabrics
  • Gently cleanse with warm water, avoid harsh soaps
  • Air dry diaper area completely when possible

Clinical Decision Support

Checklist
  • Beefy red rash in diaper area
  • Satellite lesions or pustules present
  • No fever or other systemic symptoms
  • Recent antibiotic use or thrush confirmed
  • KOH microscopy positive for Candida (optional)

Reimbursement and Quality Metrics

Impact Summary
  • Candidal Diaper Rash (ICD-10 B37.8) reimbursement depends on documented severity, treatment, and payer policies. Optimize coding for maximum allowable payment.
  • Coding accuracy crucial for Candidal Diaper Rash. Miscoded as irritant dermatitis (L22) impacts hospital revenue, quality metrics.
  • Diaper rash treatment success tracked for quality reporting. Accurate Candida diagnosis (B37.8) essential for appropriate antifungal therapy capture.
  • Hospital reporting of Candidal Diaper Rash infections (B37.8) influences infection control protocols and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: How can I differentiate candidal diaper dermatitis from other diaper rashes in infants clinically?

A: Candidal diaper dermatitis often presents as beefy-red plaques with satellite lesions or pustules, typically involving skin folds. While irritant diaper dermatitis may appear similarly erythematous, it usually spares the folds. Bacterial diaper dermatitis may present with pustules but lacks the characteristic satellite lesions of candidiasis. Accurate diagnosis is crucial for targeted treatment. Consider implementing a KOH prep for microscopic confirmation of Candida if the clinical picture is unclear. Explore how incorporating a skin scraping can enhance diagnostic accuracy in challenging cases. Learn more about the distinct clinical features of various diaper rash etiologies for improved differential diagnosis.

Q: What are the most effective evidence-based topical treatment options for candidal diaper rash in pediatric patients, and how do I choose between them?

A: Topical antifungal agents, such as nystatin, clotrimazole, and miconazole, are considered first-line treatments for candidal diaper dermatitis in infants. Nystatin is often preferred for its safety profile in this age group, while clotrimazole and miconazole offer broader antifungal coverage, which may be beneficial in cases of suspected mixed infections. The choice depends on the patient's specific needs and potential concomitant infections. Explore how antifungal susceptibility testing can guide therapy in recurrent or refractory cases. Consider implementing a barrier cream containing zinc oxide or petrolatum after each diaper change to protect the skin and prevent further irritation. Learn more about optimizing topical antifungal therapy for candidal diaper rash in pediatric patients.

Quick Tips

Practical Coding Tips
  • Code B37.8 Candidiasis
  • Document satellite lesions
  • Rule out bacterial infection
  • Consider nystatin application
  • Check for oral thrush

Documentation Templates

Patient presents with symptoms consistent with candidal diaper rash (diaper candidiasis, yeast diaper rash).  The affected area, located within the diaper region, exhibits erythema, satellite lesions, and scaling.  The patient reports discomfort and possible pruritus in the affected area.  Differential diagnosis includes irritant diaper dermatitis and bacterial infection.  Based on the clinical presentation, a diagnosis of candidal diaper rash is made.  Treatment plan includes application of a topical antifungal cream such as nystatin or clotrimazole, as well as frequent diaper changes and meticulous hygiene practices to maintain skin dryness.  Patient education provided regarding proper diaper care and prevention strategies for diaper rash.  Follow-up recommended to assess treatment response and address any persistent symptoms.  ICD-10 code B37.8 is documented for this encounter.  Keywords: Candidal diaper rash, diaper candidiasis, yeast diaper rash, infant rash, diaper dermatitis, erythema, satellite lesions, pruritus, antifungal cream, nystatin, clotrimazole, diaper care, skin hygiene, ICD-10 B37.8, pediatric dermatology, fungal infection, skin infection.