ICD-10 Coding for Urinary Tract Infection with Hematuria(N30.01, N30.21)
Complete ICD-10-CM coding and documentation guide for Urinary Tract Infection with Hematuria. 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 with Hematuria
N30-N39Primary Range
Other diseases of the urinary system
This range includes codes for urinary tract infections, cystitis, and related conditions with hematuria.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N30.01 | Acute cystitis with hematuria | Use when acute cystitis is documented with hematuria. |
|
| N30.21 | Chronic cystitis with hematuria | Use when chronic cystitis is documented with hematuria. |
|
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 with hematuria
Essential facts and insights about Urinary Tract Infection with Hematuria
Primary ICD-10-CM Codes for urinary tract infection with hematuria
Decision Criteria
clinical Criteria
- Presence of acute cystitis symptoms with hematuria
documentation Criteria
- Urinalysis and culture results confirming hematuria and infection
Applicable To
- Acute cystitis with gross hematuria
- Acute cystitis with microscopic hematuria
Excludes
- Chronic cystitis with hematuria (N30.21)
Clinical Validation Requirements
- Urinalysis showing >3 RBCs per HPF
- Positive urine culture
Code-Specific Risks
- Incorrect use when chronic cystitis is present
- Missing documentation of hematuria
Coding Notes
- Ensure documentation specifies 'acute cystitis with hematuria' and includes urinalysis results.
N30.21 - Chronic cystitis with hematuria
Use when chronic cystitis is documented with hematuria.
Applicable To
- Chronic cystitis with recurrent hematuria
Excludes
- Acute cystitis with hematuria (N30.01)
Clinical Validation Requirements
- Chronic inflammation confirmed by imaging
- Persistent hematuria documented over time
Coding Notes
Ensure documentation specifies 'chronic cystitis with hematuria' and includes imaging results.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Urinary Tract Infection with Hematuria to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.01.
Impact
Clinical: Incomplete clinical picture, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Always include lab results in patient records, Review documentation before submission
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N30.01 or N30.21 depending on acute or chronic presentation.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Educate staff on proper documentation and coding practices.
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 with Hematuria, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urinary Tract Infection with Hematuria
Use these documentation templates to ensure complete and accurate documentation for Urinary Tract Infection with Hematuria. These templates include all required elements for proper coding and billing.
Acute UTI with hematuria
Specialty: Primary CareRequired Elements
- Patient symptoms
- Urinalysis results
- Culture results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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