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B36.0
ICD-10-CM
Tinea Versicolor

Find information on Tinea Versicolor diagnosis, including clinical documentation, medical coding, ICD-10 codes (B36.0), SNOMED CT concepts, and healthcare best practices. Learn about pityriasis versicolor symptoms, treatment, and differential diagnosis for accurate medical records and optimized reimbursement. Explore resources for healthcare professionals on managing and documenting this superficial fungal infection.

Also known as

Pityriasis Versicolor
Tinea Flava
Tinea Alba

Diagnosis Snapshot

Key Facts
  • Definition : A common fungal skin infection causing discolored patches.
  • Clinical Signs : White, pink, tan, or brown patches, often scaly, typically on the chest, back, and neck.
  • Common Settings : Hot, humid climates, sweaty skin, weakened immune system.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC B36.0 Coding
B36.0

Pityriasis versicolor

Skin infection causing discolored patches.

B35-B37

Dermatophytoses

Superficial fungal infections of the skin.

B30-B34

Other superficial mycoses

Fungal skin infections excluding dermatophytoses.

B00-B99

Viral, bacterial and other infections

Broad category encompassing various infectious skin diseases.

Code-Specific Guidance

Decision Tree for

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

Is the diagnosis Tinea Versicolor confirmed?

  • Yes

    Is it specified as pityriasis versicolor?

  • No

    Do not code B74.0. Query physician for confirmed diagnosis.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Discolored skin patches
Vitiligo: Depigmented patches
Pityriasis alba: Pale, scaly patches

Documentation Best Practices

Documentation Checklist
  • Tinea versicolor diagnosis confirmation method (KOH, Wood's lamp)
  • Description of skin lesions (color, shape, location, distribution)
  • Patient-reported symptoms (pruritus, scaling)
  • Associated risk factors (humidity, sweating, immunosuppression)
  • Differential diagnoses considered and ruled out

Coding and Audit Risks

Common Risks
  • Unspecified Tinea Versicolor

    Coding B36.0 without laterality (B36.1, B36.2) when documented, impacting reimbursement and data accuracy. ICD-10-CM coding, CDI query, medical record documentation.

  • Rule Out Tinea Versicolor

    Coding B36.0 for suspected but unconfirmed diagnosis. Code signs/symptoms instead. ICD-10 diagnosis coding, healthcare compliance, clinical documentation improvement.

  • Missed Comorbidities

    Failing to code associated conditions like immunodeficiency, impacting risk adjustment and quality reporting. Medical coding audits, HCC coding, risk adjustment coding.

Mitigation Tips

Best Practices
  • ICD-10 B36.0, sun exposure for hypopigmentation
  • KOH microscopy for accurate diagnosis, SNOMED CT 72634006
  • Topical antifungals, selenium sulfide, improve CDI
  • Patient education, hygiene, adherence for compliance
  • Recurrence common, long-term management, B36.0 follow-up

Clinical Decision Support

Checklist
  • 1. Hypopigmented/hyperpigmented macules on trunk/neck?
  • 2. KOH prep showing hyphae/spores (spaghetti and meatballs)?
  • 3. Wood's lamp examination shows yellowish fluorescence?
  • 4. Rule out other skin conditions (vitiligo, pityriasis rosea)?
  • 5. Document lesion appearance, location, KOH, Wood's lamp findings

Reimbursement and Quality Metrics

Impact Summary
  • Tinea Versicolor reimbursement: ICD-10-CM B36.0, maximize claim accuracy for optimal payment.
  • Coding quality metrics: Accurate B36.0 coding impacts RVU, APC assignment, and case mix index.
  • Hospital reporting: Tinea Versicolor data affects infection control, resource allocation, and public health surveillance.
  • Impact: Proper coding minimizes denials, improves revenue cycle, and ensures accurate hospital reporting.

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 B70.0 for tinea versicolor
  • Document skin scraping KOH results
  • Specify body site affected by rash
  • Include treatment plan details
  • Rule out other fungal infections

Documentation Templates

Patient presents with complaints consistent with tinea versicolor, also known as pityriasis versicolor.  The patient reports hypopigmented or hyperpigmented macules on the trunk, back, chest, andor shoulders.  Lesions are described as finely scaling and may be pruritic, though often asymptomatic.  The patient denies significant pain.  Wood's lamp examination reveals a characteristic yellow-green fluorescence in affected areas, supporting the clinical diagnosis of tinea versicolor.  Differential diagnoses considered include vitiligo, pityriasis alba, and seborrheic dermatitis.  Based on the clinical presentation and Wood's lamp findings, the diagnosis of tinea versicolor is confirmed.  Treatment plan includes topical antifungal agents such as ketoconazole, selenium sulfide, or clotrimazole cream applied to affected areas as directed.  Patient education provided regarding the recurrent nature of tinea versicolor and the importance of adherence to the prescribed treatment regimen.  Follow-up appointment scheduled to assess treatment response and provide further management as needed.  ICD-10 code B36.0 is assigned for this encounter.