ICD-10 Coding for Recurrent Urinary Tract Infection(N39.0, Z87.440)
Complete ICD-10-CM coding and documentation guide for Recurrent Urinary Tract Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Recurrent Urinary Tract Infection
N39.0Primary Range
Urinary tract infection, site not specified
Primary code for recurrent UTI when the site is not specified.
Personal history of urinary tract infections
Used for historical recurrent UTI without current infection.
Other chronic cystitis/Unspecified cystitis
Used when chronic bladder-specific infection is documented.
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 for active recurrent UTI without specified site. |
|
| Z87.440 | Personal history of urinary tract infections | Use when documenting a history of recurrent UTIs without current 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 recurrent UTI
Essential facts and insights about Recurrent Urinary Tract Infection
Primary ICD-10-CM Codes for recurrent urinary tract infection
Decision Criteria
clinical Criteria
- Presence of recurrent symptoms and positive culture
documentation Criteria
- Documented resolution between episodes
Applicable To
- Recurrent UTI without specified site
Excludes
- Chronic cystitis (N30.2-)
Clinical Validation Requirements
- Documented recurrent episodes
- Positive urine culture
Code-Specific Risks
- Misclassification if site is specified
Coding Notes
- Ensure documentation specifies 'recurrent' and includes culture results.
Z87.440 - Personal history of urinary tract infections
Use when documenting a history of recurrent UTIs without current infection.
Applicable To
- History of recurrent UTI
Excludes
- Active UTI (N39.0)
Clinical Validation Requirements
- Documented history of UTIs
- No current active infection
Coding Notes
Ensure no active infection is present when using this code.
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
B96.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chronic cystitis with hematuria
N30.21Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Recurrent Urinary Tract Infection 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 planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific numbers and dates, Include culture results
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use N39.0 for active infections and Z87.440 for history only.
Impact
Using Z87.440 for active infections.
Mitigation Strategy
Ensure active infections are coded with N39.0.
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 Recurrent Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Recurrent Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for Recurrent Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Recurrent UTI in primary care
Specialty: Primary CareRequired Elements
- Number of episodes
- Culture results
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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