ICD-10 Coding for Acute Cystitis with Hematuria(N30.01)
Complete ICD-10-CM coding and documentation guide for Acute Cystitis with Hematuria. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Cystitis with Hematuria
N30-N39Primary Range
Diseases of the urinary system
This range includes codes for cystitis and other urinary tract infections, with specific codes for acute cystitis with hematuria.
Key Information: ICD-10 code for acute cystitis with hematuria
Essential facts and insights about Acute Cystitis with Hematuria
Primary ICD-10-CM Code for acute cystitis with hematuria
Decision Criteria
clinical Criteria
- Presence of dysuria, urgency, and confirmed hematuria
documentation Criteria
- Microscopic confirmation of hematuria with ≥3 RBCs/hpf
Applicable To
- Acute bladder infection with blood in urine
Excludes
- Chronic cystitis with hematuria (N30.21)
Clinical Validation Requirements
- Microscopic confirmation of ≥3 RBCs/hpf
- Presence of acute symptoms such as dysuria, urgency, and suprapubic pain
Code-Specific Risks
- Misclassification if hematuria is not confirmed microscopically
Coding Notes
- Ensure documentation explicitly states 'acute cystitis with hematuria' and includes microscopy results.
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 Acute Cystitis 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: May lead to misdiagnosis of urinary conditions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Ensure urinalysis includes microscopy, Train staff on documentation standards
Impact
Reimbursement: Incorrect coding may lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure hematuria is confirmed via microscopy and documented.
Impact
Lack of microscopic confirmation can lead to audit issues.
Mitigation Strategy
Implement standard protocols for urinalysis and documentation.
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 Acute Cystitis with Hematuria, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Cystitis with Hematuria
Use these documentation templates to ensure complete and accurate documentation for Acute Cystitis with Hematuria. These templates include all required elements for proper coding and billing.
Acute cystitis with hematuria in primary care
Specialty: Primary CareRequired Elements
- Patient history of dysuria and hematuria
- Urinalysis results
- Microscopy confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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