ICD-10 Coding for Urine Leukocytes(R82.992, N39.0)
Complete ICD-10-CM coding and documentation guide for Urine Leukocytes. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Urine Leukocytes
R82-R82.99Primary Range
Abnormal findings on examination of urine, without diagnosis
This range includes codes for abnormal findings in urine, such as pyuria, which is indicated by the presence of leukocytes.
Other disorders of urinary system
This range includes codes for urinary tract infections, which may be associated with pyuria.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R82.992 | Pyuria | Use when leukocytes are present in urine without confirmed infection or symptoms. |
|
| N39.0 | Urinary tract infection, site not specified | Use when UTI is confirmed by culture and symptoms. |
|
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 urine leukocytes
Essential facts and insights about Urine Leukocytes
Primary ICD-10-CM Codes for urine leukocytes
Decision Criteria
clinical Criteria
- Presence of leukocytes without infection confirmation
documentation Criteria
- Quantitative leukocyte count in urinalysis
Applicable To
- Leukocytes in urine without confirmed infection
Excludes
- Urinary tract infection (N39.0)
Clinical Validation Requirements
- WBC >5/hpf or >10,000/mL without symptoms or culture confirmation
Code-Specific Risks
- Incorrectly coding as UTI without culture confirmation.
Coding Notes
- Ensure documentation specifies leukocyte count and absence of infection.
N39.0 - Urinary tract infection, site not specified
Use when UTI is confirmed by culture and symptoms.
Applicable To
- UTI with confirmed infection
Excludes
- Pyuria without infection (R82.992)
Clinical Validation Requirements
- WBC >5/hpf, nitrites positive, culture ≥50,000 CFU/mL
Coding Notes
Document culture results and symptoms clearly.
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 Urine Leukocytes to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R82.992.
Impact
Clinical: Misdiagnosis of UTI., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document culture results if available.
Impact
Reimbursement: Potential claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R82.992 for pyuria until culture confirms UTI.
Impact
High risk of audit if UTI is coded without culture confirmation.
Mitigation Strategy
Ensure culture results are documented before coding UTI.
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 Urine Leukocytes, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urine Leukocytes
Use these documentation templates to ensure complete and accurate documentation for Urine Leukocytes. These templates include all required elements for proper coding and billing.
Suspected UTI with pending culture
Specialty: UrologyRequired Elements
- Patient symptoms
- Urinalysis results
- Culture status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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