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2025 ICD-10-CM code B38.2

Pulmonary coccidioidomycosis, unspecified.

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Certain localized infections are excluded (see body system-related chapters). Carrier or suspected carrier of infectious disease (Z22.-), infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium (O98.-), and infectious and parasitic diseases specific to the perinatal period (P35-P39) are also excluded. Influenza and other acute respiratory infections (J00-J22) should be coded separately if present.

Medical necessity is based on the patient's signs, symptoms, and diagnostic test results confirming the presence of pulmonary coccidioidomycosis. Treatment is medically necessary for symptomatic cases or in cases where there is a risk of dissemination.

Patients with unspecified pulmonary coccidioidomycosis may remain asymptomatic even with pulmonary infection, but some people, especially those with weakened immune systems, may experience flu-like symptoms with weakness, fever, cough, difficulty breathing, chest pain, muscle pain, night sweats, and rashes. Providers diagnose the condition based on patient history, physical examination, and symptoms. Laboratory tests and imaging techniques may be used to confirm infection and assess lung complications. Treatment is usually not required for mild symptoms; however, antifungal drugs may be prescribed for severe infections.

In simple words: This is a lung infection caused by a fungus found in the soil. It's not clear what specific type of lung infection it is.

Pulmonary coccidioidomycosis refers to a fungal infection of the lungs caused by inhalation of air contaminated by the soil-borne fungus Coccidioides. The provider does not specify the type of pulmonary coccidioidomycosis.

Example 1: A patient presents with flu-like symptoms after a recent trip to the southwestern United States. Imaging reveals pulmonary infiltrates consistent with coccidioidomycosis., An immunocompromised individual develops a persistent cough and difficulty breathing. Diagnostic testing confirms pulmonary coccidioidomycosis., A patient with a known history of coccidioidomycosis experiences worsening respiratory symptoms, indicating a progression of the pulmonary infection.

Documentation should include travel history to endemic areas, physical exam findings, symptoms, laboratory results (CBC, ESR, immunoglobulin testing, blood and sputum cultures, PCR), and imaging results (chest X-ray, CT scan).

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