ICD-10 Coding for Urinary Tract Infection due to E. coli(N39.0, B96.2)
Complete ICD-10-CM coding and documentation guide for Urinary Tract Infection due to E. coli. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Urinary Tract Infection due to E. coli
N39.0Primary Range
Urinary tract infection, site unspecified
Primary code for unspecified urinary tract infections, often used when the specific site is not documented.
Escherichia coli [E. coli] as the cause of diseases classified elsewhere
Used as an additional code to identify the infectious agent when E. coli is confirmed as the cause.
Infection and inflammatory reaction due to indwelling urethral catheter
Used in cases of catheter-associated urinary tract infections.
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 unspecified | Use when the UTI is documented without a specific site. |
|
| B96.2 | Escherichia coli [E. coli] as the cause of diseases classified elsewhere | Use as an additional code when E. coli is confirmed as the causative organism. |
|
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: How do you code a UTI caused by E. coli?
Essential facts and insights about Urinary Tract Infection due to E. coli
Primary ICD-10-CM Codes for urinary tract infection physician initial coli
Decision Criteria
clinical Criteria
- Presence of UTI symptoms and positive urine culture
documentation Criteria
- Provider documentation of UTI without specific site
Clinical Validation Requirements
- Symptoms such as dysuria, frequency, or suprapubic pain
- Positive urine culture
Code-Specific Risks
- Missing additional organism code if E. coli is confirmed
Coding Notes
- Ensure provider confirmation of E. coli as the causative organism.
B96.2 - Escherichia coli [E. coli] as the cause of diseases classified elsewhere
Use as an additional code when E. coli is confirmed as the causative organism.
Applicable To
- E. coli as the causative organism
Clinical Validation Requirements
- Urine culture confirming E. coli
- Provider documentation linking E. coli to the UTI
Coding Notes
Must be used in conjunction with a primary UTI 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.
Acute cystitis without hematuria
N30.00Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Urinary Tract Infection due to E. coli to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.0.
Impact
Clinical: May lead to inappropriate treatment if organism is not identified., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for specific organism-related treatments.
Mitigation Strategy
Ensure lab results are reviewed and documented by the provider., Educate providers on the importance of specifying causative organisms.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Require provider statement confirming E. coli as the causative organism.
Impact
Reimbursement: Potential loss of reimbursement for catheter-associated complications., Compliance: Failure to document catheter use can lead to compliance issues., Data Quality: Incomplete clinical data.
Mitigation Strategy
Add T83.511A for indwelling catheters when applicable.
Impact
Risk of audits due to lack of provider confirmation of E. coli.
Mitigation Strategy
Implement checks to ensure provider documentation confirms organism.
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 Urinary Tract Infection due to E. coli, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urinary Tract Infection due to E. coli
Use these documentation templates to ensure complete and accurate documentation for Urinary Tract Infection due to E. coli. These templates include all required elements for proper coding and billing.
Primary Care Progress Note
Specialty: Primary CareRequired Elements
- Patient symptoms
- Urine culture results
- Provider assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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