ICD-10 Coding for Dysuria in Pregnancy(O23.4-, O86.2-)
Complete ICD-10-CM coding and documentation guide for Dysuria in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dysuria in Pregnancy
O23.4-Primary Range
Infections of genitourinary tract in pregnancy
Primary range for coding urinary tract infections complicating pregnancy.
Urinary tract infection, site not specified
Used when UTI is not linked to pregnancy complications.
Infections of genitourinary tract following delivery
Used for postpartum urinary tract infections.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O23.4- | Infections of genitourinary tract in pregnancy | Use when UTI is documented as complicating the pregnancy. |
|
| O86.2- | Infections of genitourinary tract following delivery | Use for UTIs occurring postpartum. |
|
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 dysuria in pregnancy
Essential facts and insights about Dysuria in Pregnancy
Primary ICD-10-CM Codes for dysuria in pregnancy
Decision Criteria
documentation Criteria
- Explicit statement of UTI complicating pregnancy
Applicable To
- UTI complicating pregnancy
Excludes
- Infections not complicating pregnancy
Clinical Validation Requirements
- Documented UTI with explicit pregnancy link
- Positive urine culture
Code-Specific Risks
- Incorrectly coding without documentation of complication
Coding Notes
- Ensure documentation explicitly links UTI to pregnancy complication.
O86.2- - Infections of genitourinary tract following delivery
Use for UTIs occurring postpartum.
Applicable To
- Postpartum UTI
Excludes
- Infections not related to delivery
Clinical Validation Requirements
- UTI documented within 6 weeks postpartum
Coding Notes
Ensure postpartum status is documented.
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 Dysuria in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O23.4-.
Impact
Clinical: May lead to under-treatment or mismanagement., Regulatory: Increases audit risk., Financial: Incorrect reimbursement due to wrong DRG.
Mitigation Strategy
Ensure thorough documentation review, Educate clinicians on documentation requirements
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Potential audit risk for incorrect coding., Data Quality: Impacts accuracy of pregnancy complication data.
Mitigation Strategy
Ensure documentation explicitly states UTI complicating pregnancy.
Impact
Risk of incorrect DRG due to improper coding of UTI in pregnancy.
Mitigation Strategy
Ensure documentation explicitly links UTI to pregnancy complication.
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 Dysuria in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dysuria in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Dysuria in Pregnancy. These templates include all required elements for proper coding and billing.
Pregnant patient with UTI symptoms
Specialty: ObstetricsRequired Elements
- Gestational age
- Urine culture results
- Symptoms description
- Link to pregnancy complication
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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