Candidiasis
In Mycoses (B35-B49), chapter 1: Certain Infectious and Parasitic Diseases
17 billable codes under B37: 4 are an MCC, 8 are a CC; 3 map to HCC 6 (Opportunistic Infections), HCC 2 (Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Includes: conditions that are coded here
- candidosis
- moniliasis
Excludes1: not coded here, use a different code
- neonatal candidiasis (P37.5)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.
- Human Immunodeficiency Virus (HIV) Infections (page 19)
- Infectious agents as the cause of diseases classified to other chapters (page 22)
- Infections resistant to antibiotics (page 22)
- Sepsis, Severe Sepsis, and Septic Shock (page 23)
- Methicillin Resistant Staphylococcus aureus (MRSA) Conditions (page 27)
- Zika virus infections (page 28)
- Coronavirus infections (page 28)
All codes under B37
B37 can't be used on a claim. Pick a billable code below; grey headings group them.
- B37.0Candidal stomatitis
- B37.1Pulmonary candidiasis
- B37.2Candidiasis of skin and nail
- B37.3Candidiasis of vulva and vagina
- B37.31Acute candidiasis of vulva and vagina
- B37.32Chronic candidiasis of vulva and vagina
- B37.4Candidiasis of other urogenital sites
- B37.41Candidal cystitis and urethritis
- B37.42Candidal balanitis
- B37.49Other urogenital candidiasis
- B37.5Candidal meningitis
- B37.6Candidal endocarditis
- B37.7Candidal sepsis
- B37.8Candidiasis of other sites
- B37.81Candidal esophagitis
- B37.82Candidal enteritis
- B37.83Candidal cheilitis
- B37.84Candidal otitis externa
- B37.89Other sites of candidiasis
- B37.9Candidiasis, unspecified
B37 MS-DRGs
As the principal diagnosis, the billable codes under B37 group to these 30 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 974 HIV with Major Related Condition with MCC (9 of 17 codes)
- DRG 975 HIV with Major Related Condition with CC (9 of 17 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (9 of 17 codes)
- DRG 791 Prematurity with Major Problems (6 of 17 codes)
- DRG 793 Full Term Neonate with Major Problems (6 of 17 codes)
- DRG 757 Infections, Female Reproductive System with MCC (4 of 17 codes)
- DRG 758 Infections, Female Reproductive System with CC (4 of 17 codes)
- DRG 759 Infections, Female Reproductive System without CC/MCC (4 of 17 codes)
- DRG 727 Inflammation of the Male Reproductive System with MCC (3 of 17 codes)
- DRG 728 Inflammation of the Male Reproductive System without MCC (3 of 17 codes)
- DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (2 of 17 codes)
- DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (2 of 17 codes)
- DRG 867 Other Infectious and Parasitic Diseases Diagnoses with MCC (2 of 17 codes)
- DRG 868 Other Infectious and Parasitic Diseases Diagnoses with CC (2 of 17 codes)
- DRG 869 Other Infectious and Parasitic Diseases Diagnoses without CC/MCC (2 of 17 codes)
- DRG 023 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator (1 of 17 codes)
- DRG 024 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC (1 of 17 codes)
- DRG 097 Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC (1 of 17 codes)
- DRG 098 Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC (1 of 17 codes)
- DRG 099 Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC (1 of 17 codes)
- DRG 154 Other Ear, Nose, Mouth and Throat Diagnoses with MCC (1 of 17 codes)
- DRG 155 Other Ear, Nose, Mouth and Throat Diagnoses with CC (1 of 17 codes)
- DRG 156 Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC (1 of 17 codes)
- DRG 157 Dental and Oral Diseases with MCC (1 of 17 codes)
- DRG 158 Dental and Oral Diseases with CC (1 of 17 codes)
- DRG 159 Dental and Oral Diseases without CC/MCC (1 of 17 codes)
- DRG 177 Respiratory Infections and Inflammations with MCC (1 of 17 codes)
- DRG 178 Respiratory Infections and Inflammations with CC (1 of 17 codes)
- DRG 179 Respiratory Infections and Inflammations without CC/MCC (1 of 17 codes)
- DRG 288 Acute and Subacute Endocarditis with MCC (1 of 17 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Yeast Infections
Candida is the scientific name for yeast. It is a fungus that lives almost everywhere, including in your body. Usually, your immune system keeps yeast under control. If you are sick or taking antibiotics, it can multiply and cause an infection.
Read more about yeast infections on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.