ICD-10 Coding for ESBL in Urine(N39.0, Z16.12)
Complete ICD-10-CM coding and documentation guide for ESBL in Urine. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ESBL in Urine
N39-N39.9Primary Range
Urinary tract infection, site not specified
Primary range for coding urinary tract infections, including those caused by ESBL-producing organisms.
Resistance to antimicrobial drugs
Used to indicate resistance to antibiotics, such as ESBL resistance.
Other bacterial agents as the cause of diseases classified elsewhere
Used to specify the bacterial organism causing the infection, such as E. coli or Klebsiella.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N39.0 | Urinary tract infection, site not specified | Use when diagnosing a UTI without a specified site. |
|
| Z16.12 | Resistance to extended spectrum beta-lactam antibiotics | Use when ESBL resistance is confirmed in a bacterial infection. |
|
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 ESBL in urine
Essential facts and insights about ESBL in Urine
Primary ICD-10-CM Codes for esbl in urine
Decision Criteria
clinical Criteria
- Presence of UTI symptoms and positive urine culture
Applicable To
- UTI
Excludes
- Infections with specified sites
Clinical Validation Requirements
- Symptoms of UTI such as dysuria, frequency
- Positive urine culture
Code-Specific Risks
- Ensure UTI is not specified to another site.
Coding Notes
- Always confirm UTI diagnosis with clinical symptoms and lab results.
Z16.12 - Resistance to extended spectrum beta-lactam antibiotics
Use when ESBL resistance is confirmed in a bacterial infection.
Applicable To
- ESBL resistance
Excludes
- Resistance to other antibiotics
Clinical Validation Requirements
- Microbiology report confirming ESBL production
Coding Notes
Ensure resistance is documented in the lab report.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting ESBL in Urine to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.0.
Impact
Clinical: Inaccurate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure lab reports specify the organism.
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on infection prevalence and resistance patterns.
Mitigation Strategy
Always pair with a primary infection code like N39.0.
Impact
Using Z16.12 as a primary code.
Mitigation Strategy
Educate coders on proper sequencing rules.
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 ESBL in Urine, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ESBL in Urine
Use these documentation templates to ensure complete and accurate documentation for ESBL in Urine. These templates include all required elements for proper coding and billing.
Inpatient UTI with ESBL resistance
Specialty: Infectious DiseaseRequired Elements
- Organism identification
- Resistance confirmation
- Antibiotic plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for ESBL in Urine? Ask your questions below.