ICD-10 Coding for Bacterial Vaginosis in Pregnancy(O23.599, N76.0)
Complete ICD-10-CM coding and documentation guide for Bacterial Vaginosis in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bacterial Vaginosis in Pregnancy
O23.5Primary Range
Infections of the genital tract in pregnancy
This range includes codes for infections specifically complicating pregnancy, such as bacterial vaginosis.
Acute vaginitis
This code is used for vaginitis not specifically linked to pregnancy complications.
Other specified bacterial agents as the cause of diseases classified elsewhere
Used to specify the bacterial agent causing the infection when known.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O23.599 | Other infection of genital tract in pregnancy, unspecified trimester | Use when BV is documented as complicating the pregnancy. |
|
| N76.0 | Acute vaginitis | Use when BV is not documented as complicating pregnancy. |
|
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 bacterial vaginosis in pregnancy
Essential facts and insights about Bacterial Vaginosis in Pregnancy
Primary ICD-10-CM Codes for bacterial vaginosis in pregnancy
Decision Criteria
clinical Criteria
- BV symptoms and pregnancy status
documentation Criteria
- Link between BV and pregnancy complication
Applicable To
- Bacterial vaginosis complicating pregnancy
Excludes
- Infections not complicating pregnancy
Clinical Validation Requirements
- Clinical findings consistent with BV
- Pregnancy status confirmed
- Trimester documented
Code-Specific Risks
- Incorrectly coding as N76.0 if pregnancy complication is documented
Coding Notes
- Ensure documentation specifies the infection is complicating the pregnancy.
N76.0 - Acute vaginitis
Use when BV is not documented as complicating pregnancy.
Applicable To
- Vaginitis without pregnancy complication
Excludes
- Vaginitis complicating pregnancy (O23.599)
Clinical Validation Requirements
- Symptoms of vaginitis
- No link to pregnancy complication
Coding Notes
Ensure no pregnancy complication is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified bacterial agents
B96.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bacterial Vaginosis in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O23.599.
Impact
Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Always document gestational age., Use templates that prompt for gestational age.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on pregnancy complications.
Mitigation Strategy
Use O23.599 when BV is complicating pregnancy.
Impact
Using N76.0 instead of O23.599 when BV complicates pregnancy.
Mitigation Strategy
Ensure documentation links BV to pregnancy complications.
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 Bacterial Vaginosis in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bacterial Vaginosis in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Bacterial Vaginosis in Pregnancy. These templates include all required elements for proper coding and billing.
BV in third trimester
Specialty: ObstetricsRequired Elements
- Symptoms of BV
- Gestational age
- Link to pregnancy complication
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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