ICD-10 Coding for Complicated Urinary Tract Infection(N30.00, N10)
Complete ICD-10-CM coding and documentation guide for Complicated Urinary Tract Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Complicated Urinary Tract Infection
N30-N39Primary Range
Diseases of the urinary system
This range includes codes for urinary tract infections, both complicated and uncomplicated, and related conditions.
Complications of genitourinary devices, implants, and grafts
This range includes codes for complications related to urinary catheters and other devices, which are often associated with complicated UTIs.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N30.00 | Acute cystitis without hematuria | Use when acute cystitis is present with documented complicating factors. |
|
| N10 | Acute pyelonephritis | Use when acute pyelonephritis is confirmed with complicating factors. |
|
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 complicated UTI
Essential facts and insights about Complicated Urinary Tract Infection
Primary ICD-10-CM Codes for complicated urinary tract infection
Decision Criteria
clinical Criteria
- Presence of acute cystitis symptoms with complicating factors
Applicable To
- Acute cystitis with complicating factors
Excludes
- Chronic cystitis (N30.2-)
Clinical Validation Requirements
- Documented acute cystitis with complicating factors such as neurogenic bladder
Code-Specific Risks
- Risk of undercoding if complicating factors are not documented.
Coding Notes
- Ensure documentation specifies the acute nature and complicating factors.
N10 - Acute pyelonephritis
Use when acute pyelonephritis is confirmed with complicating factors.
Applicable To
- Acute pyelonephritis with complicating factors
Excludes
- Chronic pyelonephritis (N11.-)
Clinical Validation Requirements
- Documented acute pyelonephritis with imaging confirmation of complicating factors
Coding Notes
Ensure imaging confirms the presence of complicating factors.
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 Complicated Urinary Tract Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.00.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure complicating factors are documented in the patient's record.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases specificity and accuracy of data.
Mitigation Strategy
Query for specific site involvement and complicating factors.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Ensure all documentation is specific and complete.
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 Complicated Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Complicated Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for Complicated Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Acute complicated UTI in a patient with a Foley catheter
Specialty: UrologyRequired Elements
- Site of infection
- Causative organism
- Complicating factors
- Linkage to device
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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