ICD-10 Coding for Cystitis in Pregnancy(O23.10, O23.11, O23.12, O23.13)
Complete ICD-10-CM coding and documentation guide for Cystitis in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cystitis in Pregnancy
O23.0-O23.9Primary Range
Infections of genitourinary tract in pregnancy
This range includes codes for infections of the genitourinary tract during pregnancy, including cystitis.
Urinary tract infection, site not specified
Used when UTI is not documented as complicating the pregnancy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O23.10 | Infections of bladder in pregnancy, unspecified trimester | Use when cystitis is documented as complicating the pregnancy and trimester is unspecified. |
|
| O23.11 | Infections of bladder in pregnancy, first trimester | Use when cystitis is documented as complicating the pregnancy in the first trimester. |
|
| O23.12 | Infections of bladder in pregnancy, second trimester | Use when cystitis is documented as complicating the pregnancy in the second trimester. |
|
| O23.13 | Infections of bladder in pregnancy, third trimester | Use when cystitis is documented as complicating the pregnancy in the third trimester. |
|
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 cystitis in pregnancy
Essential facts and insights about Cystitis in Pregnancy
Primary ICD-10-CM Codes for cystitis in pregnancy
Decision Criteria
clinical Criteria
- Cystitis documented as complicating pregnancy
coding Criteria
- Use additional code for organism
Applicable To
- Bladder infection complicating pregnancy
Excludes
- Urinary tract infection not complicating pregnancy (N39.0)
Clinical Validation Requirements
- Documented link between cystitis and pregnancy complication
- Urine culture confirming infection
Code-Specific Risks
- Incorrect use without documentation of complication
- Omitting organism code
Coding Notes
- Ensure documentation specifies the complication of pregnancy.
O23.11 - Infections of bladder in pregnancy, first trimester
Use when cystitis is documented as complicating the pregnancy in the first trimester.
Applicable To
- Bladder infection complicating pregnancy in first trimester
Excludes
- Urinary tract infection not complicating pregnancy (N39.0)
Clinical Validation Requirements
- Documented link between cystitis and pregnancy complication
- Urine culture confirming infection
Coding Notes
Ensure documentation specifies the complication of pregnancy.
O23.12 - Infections of bladder in pregnancy, second trimester
Use when cystitis is documented as complicating the pregnancy in the second trimester.
Applicable To
- Bladder infection complicating pregnancy in second trimester
Excludes
- Urinary tract infection not complicating pregnancy (N39.0)
Clinical Validation Requirements
- Documented link between cystitis and pregnancy complication
- Urine culture confirming infection
Coding Notes
Ensure documentation specifies the complication of pregnancy.
O23.13 - Infections of bladder in pregnancy, third trimester
Use when cystitis is documented as complicating the pregnancy in the third trimester.
Applicable To
- Bladder infection complicating pregnancy in third trimester
Excludes
- Urinary tract infection not complicating pregnancy (N39.0)
Clinical Validation Requirements
- Documented link between cystitis and pregnancy complication
- Urine culture confirming infection
Coding Notes
Ensure documentation specifies the complication of pregnancy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.20Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Urinary tract infection, site not specified
N39.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cystitis in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O23.10.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with ICD-10 documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always include gestational age in documentation., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation explicitly states the UTI complicates the pregnancy.
Impact
Reimbursement: May affect reimbursement rates due to incomplete coding., Compliance: Failure to meet coding specificity requirements., Data Quality: Incomplete clinical data affecting treatment decisions.
Mitigation Strategy
Always add the organism code (e.g., B96.20 for E. coli) when identified.
Impact
Risk of audits due to insufficient documentation linking UTI to pregnancy complication.
Mitigation Strategy
Use standardized templates and ensure all documentation elements are complete.
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 Cystitis in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cystitis in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Cystitis in Pregnancy. These templates include all required elements for proper coding and billing.
Cystitis complicating pregnancy
Specialty: OB/GYNRequired Elements
- Gestational age
- Symptoms and duration
- Urine culture results
- Explicit mention of pregnancy complication
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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