ICD-10-CM Billable Code

B37.1

Pulmonary candidiasis

Clinical Classification Guidelines

Inclusion Terms

  • Candidal bronchitis
  • Candidal pneumonia

Medical Intelligence & Overview

Pulmonary candidiasis, classified under ICD-10 code B37.1, is a rare fungal infection affecting the lungs. It is caused by the overgrowth of Candida species, most commonly Candida albicans, which can invade lung tissue and cause manifestations similar to bronchitis or pneumonia. Although it is uncommon, this condition is particularly significant in immunocompromised individuals, including those with weakened immune systems, HIV/AIDS, or who are on immunosuppressive therapy.

Causes & Symptoms

Clinical Causes: Overgrowth of Candida species in the body Inhalation of Candida spores from the environment Spread from other parts of the body, such as the mouth or gut Compromised immune defenses, making the lungs more susceptible Prolonged use of antibiotics or corticosteroids Ventilator use or invasive respiratory procedures in hospitalized patients

Key Symptoms: Persistent cough, which may produce sputum Shortness of breath or difficulty breathing Chest discomfort or pain, especially while breathing Fever, often low-grade but can be high during severe infections Fatigue and general malaise Wheezing or abnormal lung sounds upon listening with a stethoscope

Diagnostic & Treatment

Diagnosis Path: Chest X-ray or CT scan to detect areas of lung involvement such as infiltrates or nodules Sputum analysis with microscopy and culture to identify Candida species Bronchoscopy with bronchoalveolar lavage to obtain lung tissue or fluid samples Serological tests for Candida antigens or antibodies Histopathological examination if a lung biopsy is performed

Treatment Protocols: Systemic antifungal agents such as fluconazole, itraconazole, or amphotericin B Addressing underlying immune deficiencies or predisposing factors Supportive care including oxygen therapy if breathing is compromised Monitoring for potential drug side effects and interactions In severe cases, hospitalization and intravenous antifungal therapy may be necessary

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is B37.1 a billable ICD-10 code?
Yes, B37.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report B37.1?
Clinical documentation must specify the nature of Pulmonary candidiasis and any associated comorbidities for accurate reporting.

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