ICD-10 Coding for Bacteriuria in Pregnancy(O23.40, O23.41)
Complete ICD-10-CM coding and documentation guide for Bacteriuria in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bacteriuria in Pregnancy
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O23.40 | Unspecified infection of genitourinary tract in pregnancy, unspecified trimester | Use when the trimester is not specified in the documentation. |
|
| O23.41 | Unspecified infection of genitourinary tract in pregnancy, first trimester | Use when the infection complicates the first trimester of 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 bacteriuria in pregnancy
Essential facts and insights about Bacteriuria in Pregnancy
Primary ICD-10-CM Codes for bacteriuria in pregnancy
Decision Criteria
documentation Criteria
- Trimester not specified
Applicable To
- UTI complicating pregnancy
Excludes
- N39.0 - UTI not complicating pregnancy
Clinical Validation Requirements
- Documentation of UTI complicating pregnancy
- Trimester not specified
Code-Specific Risks
- Lack of trimester specification may lead to incorrect coding.
Coding Notes
- Ensure documentation specifies the infection is complicating the pregnancy.
O23.41 - Unspecified infection of genitourinary tract in pregnancy, first trimester
Use when the infection complicates the first trimester of pregnancy.
Applicable To
- UTI complicating pregnancy in first trimester
Excludes
- N39.0 - UTI not complicating pregnancy
Clinical Validation Requirements
- Documentation of UTI complicating pregnancy
- First trimester specified
Coding Notes
Ensure documentation specifies the infection is complicating the pregnancy and the trimester.
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.
Urinary tract infection, site not specified
N39.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bacteriuria in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O23.40.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the trimester in the patient's chart.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure documentation specifies the UTI is complicating the pregnancy and use O23.4- codes.
Impact
Lack of trimester documentation can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields in EHR for trimester 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 Bacteriuria in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bacteriuria in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Bacteriuria in Pregnancy. These templates include all required elements for proper coding and billing.
UTI complicating pregnancy
Specialty: ObstetricsRequired Elements
- Patient's gestational age
- Symptoms or asymptomatic status
- Culture results
- Trimester
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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