ICD-10 Coding for Acute Cystitis Without Hematuria(N30.00)
Complete ICD-10-CM coding and documentation guide for Acute Cystitis Without 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 Without Hematuria
N30-N39Primary Range
Other diseases of urinary system
This range includes codes for cystitis and other urinary tract infections.
Key Information: ICD-10 code for acute cystitis without hematuria
Essential facts and insights about Acute Cystitis Without Hematuria
Primary ICD-10-CM Code for acute cystitis without hematuria
Decision Criteria
clinical Criteria
- Confirmed acute cystitis without hematuria via urinalysis.
documentation Criteria
- Absence of hematuria must be documented.
Applicable To
- Acute bladder infection without blood in urine
Clinical Validation Requirements
- Urinalysis showing WBC >10/hpf, nitrites positive, and absence of RBCs
- Symptoms of dysuria, urgency, and suprapubic pain
Code-Specific Risks
- Misclassification if hematuria is present but not documented
- Incorrect use if symptoms are not confirmed by urinalysis
Coding Notes
- Ensure documentation specifies absence of hematuria and confirms acute cystitis via urinalysis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.20Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Cystitis Without Hematuria to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.00.
Impact
Clinical: Leads to potential misdiagnosis., Regulatory: Increases audit risk., Financial: May result in denied claims.
Mitigation Strategy
Ensure urinalysis is performed and results are recorded., Train staff on documentation requirements.
Impact
Reimbursement: May lead to lower reimbursement due to less specificity., Compliance: Increases risk of audit for incorrect coding., Data Quality: Affects accuracy of clinical data and statistics.
Mitigation Strategy
Ensure documentation specifies acute cystitis without hematuria.
Impact
Failure to document absence of hematuria can lead to incorrect coding.
Mitigation Strategy
Implement checklists for documentation requirements.
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 Without Hematuria, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Cystitis Without Hematuria
Use these documentation templates to ensure complete and accurate documentation for Acute Cystitis Without Hematuria. These templates include all required elements for proper coding and billing.
Primary Care Visit for Suspected UTI
Specialty: Primary CareRequired Elements
- Patient symptoms
- Urinalysis results
- Absence of hematuria
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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