ICD-10 Coding for Klebsiella Urinary Tract Infection(N39.0, B96.1)
Complete ICD-10-CM coding and documentation guide for Klebsiella 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 Klebsiella Urinary Tract Infection
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N39.0 | Urinary tract infection, site not specified | Use when the site of the UTI is not specified but Klebsiella is identified as the causative organism. |
|
| B96.1 | Klebsiella pneumoniae as the cause of diseases classified elsewhere | Use as an additional code to specify Klebsiella as the causative organism in UTIs. |
|
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 Klebsiella UTI
Essential facts and insights about Klebsiella Urinary Tract Infection
Primary ICD-10-CM Codes for klebsiella urinary tract infection
Decision Criteria
clinical Criteria
- Positive urine culture for Klebsiella pneumoniae
Clinical Validation Requirements
- Urinalysis showing pyuria
- Positive urine culture
Code-Specific Risks
- Lack of site specification can lead to queries.
Coding Notes
- Ensure documentation specifies Klebsiella as the causative organism.
B96.1 - Klebsiella pneumoniae as the cause of diseases classified elsewhere
Use as an additional code to specify Klebsiella as the causative organism in UTIs.
Applicable To
- Klebsiella pneumoniae infection
Excludes
- Sepsis due to Klebsiella (A41.5)
Clinical Validation Requirements
- Urine culture showing ≥10^5 CFU/mL Klebsiella pneumoniae
Coding Notes
Ensure urine culture results are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Klebsiella pneumoniae as the cause of diseases classified elsewhere
B96.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Klebsiella Urinary Tract Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.0.
Impact
Clinical: May lead to inappropriate antibiotic use., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure urine culture results are reviewed and documented., Educate providers on the importance of specifying the organism.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on infection etiology.
Mitigation Strategy
Always pair N39.0 with B96.1 when Klebsiella is identified.
Impact
Failure to specify the causative organism in UTI coding.
Mitigation Strategy
Implement regular audits of UTI coding practices.
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 Klebsiella Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Klebsiella Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for Klebsiella Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Klebsiella UTI in a patient with acute cystitis
Specialty: UrologyRequired Elements
- Chief complaint
- History of present illness
- Urinalysis results
- Urine culture results
- Antibiotic susceptibility
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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