ICD-10 Coding for Urinary Tract Infection in Pregnancy(O23.4-, N39.0, O86.2-)
Complete ICD-10-CM coding and documentation guide for Urinary Tract Infection in Pregnancy. 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 in Pregnancy
O23.0-O23.9Primary Range
Infections of genitourinary tract in pregnancy
This range includes codes for infections of the urinary tract during pregnancy, specifying the trimester and whether the infection complicates the pregnancy.
Urinary tract infection, site not specified
Used when a UTI is present in pregnancy but 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 |
|---|---|---|---|
| O23.4- | Infections of urinary tract in pregnancy | Use when the UTI is documented as complicating the pregnancy. |
|
| N39.0 | Urinary tract infection, site not specified | Use when UTI is present but not documented as complicating the pregnancy. |
|
| O86.2- | Infection of genitourinary tract following delivery | Use for UTIs occurring within 6 weeks postpartum. |
|
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 UTI complicating pregnancy
Essential facts and insights about Urinary Tract Infection in Pregnancy
Primary ICD-10-CM Codes for urinary tract infection pregnancy
Decision Criteria
documentation Criteria
- Documentation must state 'UTI complicating pregnancy'.
Applicable To
- UTI complicating pregnancy
Clinical Validation Requirements
- Documented impact on pregnancy management
- Symptoms such as dysuria, frequency, or fever
- Positive urine culture with organism identified
Code-Specific Risks
- Incorrectly coding without documentation of complication
Coding Notes
- Ensure documentation explicitly states the UTI complicates the pregnancy.
N39.0 - Urinary tract infection, site not specified
Use when UTI is present but not documented as complicating the pregnancy.
Applicable To
- UTI not complicating pregnancy
Excludes
- UTI complicating pregnancy (O23.4-)
Clinical Validation Requirements
- Symptoms of UTI without impact on pregnancy management
Coding Notes
Ensure documentation does not indicate complication of pregnancy.
O86.2- - Infection of genitourinary tract following delivery
Use for UTIs occurring within 6 weeks postpartum.
Applicable To
- Postpartum UTI
Excludes
- UTI complicating pregnancy (O23.4-)
Clinical Validation Requirements
- UTI symptoms occurring postpartum
Coding Notes
Ensure documentation specifies postpartum period.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Urinary Tract Infection in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O23.4-.
Impact
Clinical: May lead to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Educate providers on documentation requirements., Implement documentation checklists.
Impact
Reimbursement: May lead to incorrect DRG assignment affecting reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on pregnancy complications.
Mitigation Strategy
Ensure documentation explicitly states the UTI complicates the pregnancy.
Impact
Risk of audits if O23.4- is used without proper documentation.
Mitigation Strategy
Ensure all documentation explicitly states the complication.
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 in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urinary Tract Infection in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Urinary Tract Infection in Pregnancy. These templates include all required elements for proper coding and billing.
UTI complicating pregnancy
Specialty: ObstetricsRequired Elements
- Gestational age
- Symptoms and onset
- Urine culture results
- Impact on pregnancy management
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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