ICD-10 Coding for Acute Cystitis(N30.00, N30.01)
Complete ICD-10-CM coding and documentation guide for Acute Cystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Cystitis
N30.0-N30.9Primary Range
Cystitis
This range includes all types of cystitis, with acute cystitis being a primary focus.
Bacterial and viral infectious agents
These codes are used to identify the infectious agent causing the cystitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N30.00 | Acute cystitis without hematuria | Use when acute cystitis is confirmed without hematuria. |
|
| N30.01 | Acute cystitis with hematuria | Use when acute cystitis is confirmed with hematuria. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute cystitis
Essential facts and insights about Acute Cystitis
Primary ICD-10-CM Codes for acute cystitis
Decision Criteria
clinical Criteria
- Presence of dysuria and positive urinalysis
documentation Criteria
- Provider documentation confirming acute cystitis without hematuria
Applicable To
- Acute bladder infection without blood in urine
Excludes
- Chronic cystitis (N30.20)
Clinical Validation Requirements
- Urinalysis showing positive leukocyte esterase
- Symptoms of dysuria, urgency, and frequency
Code-Specific Risks
- Misclassification if hematuria is present but not documented
Coding Notes
- Ensure documentation specifies 'acute' and absence of hematuria.
N30.01 - Acute cystitis with hematuria
Use when acute cystitis is confirmed with hematuria.
Applicable To
- Acute bladder infection with blood in urine
Excludes
- Chronic cystitis with hematuria (N30.21)
Clinical Validation Requirements
- Urinalysis showing >5 RBCs/hpf
- Symptoms of dysuria, urgency, and frequency
Coding Notes
Ensure documentation specifies 'acute' and presence of hematuria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.21Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Cystitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.00.
Impact
Clinical: Potential mismanagement of condition., Regulatory: Non-compliance with coding guidelines., Financial: Incorrect DRG assignment affecting reimbursement.
Mitigation Strategy
Ensure urinalysis results are reviewed and documented., Educate providers on importance of hematuria documentation.
Impact
Reimbursement: Potential underpayment due to unspecified coding., Compliance: Non-compliance with specificity requirements., Data Quality: Decreased data accuracy for clinical analysis.
Mitigation Strategy
Query provider to specify if cystitis is acute or chronic.
Impact
Risk of audits due to unspecified cystitis coding.
Mitigation Strategy
Implement provider education on documentation specificity.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Cystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Cystitis
Use these documentation templates to ensure complete and accurate documentation for Acute Cystitis. These templates include all required elements for proper coding and billing.
Acute Cystitis in Primary Care
Specialty: Family MedicineRequired Elements
- Chief complaint
- History of present illness
- Physical exam findings
- Lab results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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