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
Candidiasis of mouth
Fungal infection of the mouth caused by Candida species.
Other candidiasis
Candidiasis at sites other than mouth, skin, and vulvovaginal region.
Candidiasis, unspecified
Candidiasis without specification of site.
Diseases of tongue
May be used if thrush affects the tongue significantly.
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.
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 |
Coding thrush without specifying Candida species (e.g., B37.8 vs. B37.0) impacts data accuracy and treatment analysis.
Incorrectly coding pseudomembranous (B37.0) vs. other oral candidiasis (B37.8) leads to inaccurate reporting and reimbursement.
Failing to code underlying immunosuppression (e.g., HIV) with thrush can affect severity and resource allocation analysis.
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.