Disseminated paracoccidioidomycosis

This code represents a severe, widespread fungal infection caused by Paracoccidioides brasiliensis or Paracoccidioides lutzii. Disseminated paracoccidioidomycosis involves multiple organ systems, often including the lungs, skin, mucous membranes, lymph nodes, and adrenal glands, indicating systemic spread beyond a localized infection.

Use this code when documentation clearly indicates a systemic or multifocal infection with paracoccidioidomycosis. This typically occurs in immunocompromised individuals or those with severe disease presentation. Supporting documentation should include positive fungal cultures, histopathology confirming the presence of Paracoccidioides organisms in multiple sites, or clinical evidence of multi-organ involvement.

• Ensure documentation specifies "disseminated" or describes multi-organ involvement to differentiate from localized forms.
• Do not confuse with other systemic mycoses; confirm the specific causative organism is Paracoccidioides.
• Sequence this code as the primary diagnosis when it is the reason for the encounter, followed by codes for specific organ manifestations if further detail is required.