Facebook tracking pixelOropharyngeal Thrush - AI-Powered ICD-10 Documentation
B37.0
ICD-10-CM
Oropharyngeal Thrush

Find information on oropharyngeal thrush diagnosis, including clinical documentation, ICD-10 codes (B37.0), medical coding, and treatment. Learn about the signs, symptoms, and causes of oral thrush (candidiasis) in adults and children. Explore resources for healthcare professionals on diagnosing and managing oropharyngeal candidiasis. This comprehensive guide covers differential diagnosis, laboratory tests, and best practices for accurate documentation and coding of oropharyngeal thrush in medical records.

Also known as

Oral Thrush
Candidal Stomatitis
Oral Candidiasis

Diagnosis Snapshot

Key Facts
  • Definition : Yeast infection of the mouth and throat.
  • Clinical Signs : White patches, redness, sore throat, difficulty swallowing.
  • Common Settings : Infants, elderly, weakened immune systems, antibiotic use.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC B37.0 Coding
B37.0

Candidiasis of mouth

Fungal infection of the mouth caused by Candida species.

B37.8

Other candidiasis

Candidiasis at sites other than mouth, skin, and vulvovaginal region.

B37.9

Candidiasis, unspecified

Candidiasis without specification of site.

K14.0

Diseases of tongue

May be used if thrush affects the tongue significantly.

Code-Specific Guidance

Decision Tree for

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

Is the oropharyngeal thrush confirmed?

  • Yes

    Is it due to Candida albicans?

  • No

    Do not code oropharyngeal thrush. Code signs/symptoms or suspected diagnosis as appropriate.

Code Comparison

Related Codes Comparison

When to use each related code

Description
White, creamy patches in mouth/throat
Leukoplakia: White patches/plaques in mouth
Oral lichen planus: White, lacy patches, possible ulcers

Documentation Best Practices

Documentation Checklist
  • Oropharyngeal thrush diagnosis documented
  • Clinical findings: white plaques, erythema
  • Location of lesions specified (e.g., tongue, palate)
  • Confirmation method: KOH prep, culture
  • ICD-10 code B37.0 documented

Coding and Audit Risks

Common Risks
  • Unspecified Causative Organism

    Coding thrush without specifying Candida species (e.g., B37.8 vs. B37.0) impacts data accuracy and treatment analysis.

  • Confusing Oral Candidiasis Types

    Incorrectly coding pseudomembranous (B37.0) vs. other oral candidiasis (B37.8) leads to inaccurate reporting and reimbursement.

  • Missing Underlying Conditions

    Failing to code underlying immunosuppression (e.g., HIV) with thrush can affect severity and resource allocation analysis.

Mitigation Tips

Best Practices
  • Document white plaques, location, and easy bleeding.
  • Code accurately using ICD-10-CM B37.0 for oral thrush.
  • Perform KOH prep or culture for definitive diagnosis.
  • Assess risk factors: immunosuppression, antibiotics, etc.
  • Query provider for clarification if documentation unclear.

Clinical Decision Support

Checklist
  • White, creamy plaques on tongue, inner cheeks, or roof of mouth?
  • Easily scraped off plaques, revealing erythematous mucosa?
  • Associated symptoms: dysgeusia, odynophagia, burning sensation?
  • Patient immunocompromised (HIV, diabetes, steroid use)?
  • Microscopic examination of KOH smear showing yeast/pseudohyphae?

Reimbursement and Quality Metrics

Impact Summary
  • Oropharyngeal Thrush Reimbursement: ICD-10 B37.0, maximize claim accuracy for optimal payment.
  • Coding Accuracy Impact: Correct B37.0 coding ensures proper APR-DRG assignment, impacting MS-DRG.
  • Quality Metrics Impact: Thrush documentation affects hospital-acquired infection reporting and quality scores.
  • Hospital Reporting Impact: Accurate thrush diagnosis coding influences public health data and resource allocation.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code B37.0 for oral thrush
  • Document location, appearance
  • Include causative agent if known
  • Consider underlying conditions
  • Check for ICD-10-CM updates

Documentation Templates

Patient presents with complaints consistent with oropharyngeal candidiasis, commonly known as oral thrush.  Symptoms include white patches on the tongue, inner cheeks, and sometimes on the roof of the mouth, gums, and tonsils.  The patient may report associated symptoms such as sore throat, difficulty swallowing (dysphagia), altered taste (dysgeusia), or a cottony feeling in the mouth.  Clinical examination reveals characteristic creamy white, curd-like plaques that can be scraped off, revealing erythematous underlying mucosa.  Differential diagnosis includes leukoplakia, hairy leukoplakia, and other oral infections.  Diagnosis of oropharyngeal thrush is confirmed by clinical presentation and, if necessary, potassium hydroxide (KOH) preparation demonstrating pseudohyphae and yeast cells.  Predisposing factors, such as recent antibiotic use, inhaled corticosteroid use, diabetes mellitus, immunosuppression, or denture use, were explored.  Treatment plan includes antifungal medication, such as nystatin oral suspension, clotrimazole troches, or fluconazole tablets, depending on the severity and patient-specific factors.  Patient education regarding proper oral hygiene, medication adherence, and management of underlying conditions was provided.  Follow-up appointment scheduled to assess treatment response and resolution of symptoms.  ICD-10 code B37.0 Oral thrush, B37.8 Other specified candidiasis, or B37.9 Candidiasis, unspecified, will be used for billing and coding purposes, depending on the specific clinical scenario.  SNOMED CT code 109072003 Oral candidiasis will be included in the electronic health record for precise clinical documentation.