B37.2
Candidiasis of skin and nail
Clinical Classification Guidelines
Inclusion Terms
- Candidal onychia
- Candidal paronychia
Excludes Type 2
- diaper dermatitis (L22)
Medical Intelligence & Overview
Candidiasis of the skin and nails, classified under ICD-10 code B37.2, is a fungal infection caused by Candida species. This condition can affect various parts of the body, including the skin, nails, and surrounding tissues. It often occurs in moist or damaged areas of the skin, leading to discomfort and cosmetic concerns. The condition includes specific forms such as candidal onychia, which affects the nails, and candidal paronychia, which involves the skin around the nails.
Causes & Symptoms
Clinical Causes: Overgrowth of Candida fungi due to moisture or skin damage Prolonged use of antibiotics or corticosteroids Diabetes or other conditions impairing immune function Exposure to humid environments Repeated skin injuries or dermatitis around nails Poor hygiene or frequent water exposure
Key Symptoms: Redness and inflammation around affected areas Itching and burning sensations Swelling or tenderness near nails Discoloration of the nail, often white or yellow Thickening or distorted shape of the nails Pus or oozing in cases of secondary bacterial infection Cracking or splitting of the skin around nails
Diagnostic & Treatment
Diagnosis Path: The diagnosis of candidiasis of the skin and nails typically involves a clinical examination of the affected areas. A healthcare provider may take a sample of skin, nail debris, or scrapings to identify Candida fungi under a microscope or through laboratory culture. Diagnostic tests help distinguish candidiasis from other skin or nail conditions, such as bacterial infections or psoriasis. Medical history, including recent antibiotic use or immune status, also contributes to diagnosis.
Treatment Protocols: Treating candidiasis of the skin and nails generally involves antifungal medications, which can be topical or oral depending on severity. Topical antifungal creams or ointments are commonly used for mild cases affecting the skin. For nail infections or more extensive cases, systemic antifungal drugs may be prescribed. Good hygiene practices, keeping the affected area dry, and avoiding irritants are important components of management. In some cases, removal of affected nail parts or other medical interventions may be necessary. The goal of treatment is to eliminate the fungi, relieve symptoms, and prevent recurrence.
Clinical Advice & FAQs
Billing Guidance
Is B37.2 a billable ICD-10 code?
Yes, B37.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B37.2?
Clinical documentation must specify the nature of Candidiasis of skin and nail and any associated comorbidities for accurate reporting.
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