Volume 26, Number 3—March 2020
Research Letter
Coccidioidomycosis Skin Testing in a Commercially Insured Population, United States, 2014–20171
Kaitlin Benedict
, Orion Z. McCotter, and Brendan R. Jackson
, Orion Z. McCotter, and Brendan R. Jackson
Table
Characteristics of patients who received a coccidioidomycosis skin test, 2014–2017, USA
| Characteristic | Value | Diagnosis or procedure codes |
|---|---|---|
| Age, median, y (range) | 46 (2–85) | |
| 0–17 | 20 (5) | |
| 18–34 | 73 (18) | |
| 35–44 | 67 (16) | |
| 45–54 | 105 (26) | |
| 55–64 | 116 (29) | |
| >65 |
26 (6) |
|
| Sex | ||
| M | 164 (40) | |
| F |
243 (60) |
|
| Primary beneficiary’s residence | ||
| California | 367 (90) | |
| Arizona | 16 (4) | |
| Other or unknown state |
24 (6) |
|
| Underlying conditions | ||
| Immune-mediated inflammatory disease | 44 (11) | ICD-9-CM codes 555, 556, 696.0, 696.1, 696.8, 714.0, 714.2; ICD-10-CM codes K50, K51, L40, M023, M05, M06, M08, M33, M352, M45 |
| Chronic obstructive pulmonary disease | 40 (10) | ICD-9-CM codes 490–492, 494, 496; ICD-10-CM codes J41–J44 |
| Diabetes | 39 (10) | ICD-9-CM codes 249–250; ICD-10 codes E08–E11 |
| HIV/AIDS | 5 (1) | ICD-9-CM code 042; ICD-10-CM code B20 |
| Solid organ or stem cell transplant | 4 (1) | ICD-9-CM codes V42 (excluding V42.3–V42.5), 996.8; ICD-10-CM codes T86, Z94 (excluding Z94.5– Z94.7) |
| Hematologic malignancy |
4 (1) |
ICD-9-CM codes 200–208; ICD-10-CM codes C81–C86, C88, C90–C96 |
| Fungal laboratory testing in the 3 mo before skin test | ||
| Coccidioidomycosis serologic test | 20 (5) | CPT codes 86331, 86171, 86635 |
| Fungal culture | 5 (1) | CPT codes 87101, 87102, 87103, 87106, 87107 |
| Fungal smear |
11 (3) |
CPT codes 87205, 87206, 87210 |
| Fungal laboratory testing on the day of or in the 3 mo after skin test | ||
| Coccidioidomycosis serologic test | 63 (15) | CPT codes 86331, 86171, 86635 |
| Fungal culture | 34 (8) | CPT codes 87101, 87102, 87103, 87106, 87107 |
| Fungal smear | 42 (10) | CPT codes 87205, 87206, 87210 |
*Values are no. (%) except as indicated. CPT, Current Procedural Terminology; ICD-9-CM, International Classification of Diseases, 9th Revision, Clinical Modification; ICD-10-CM, International Classification of Diseases, 10th Revision, Clinical Modification.
1This work was presented in part at the 63rd Annual Coccidioidomycosis Study Group Conference, Sacramento, California, USA, April 5–6, 2019.
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Page updated: February 20, 2020
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