ICD-10 Coding for E. coli Urinary Tract Infection(N39.0, B96.20, A41.51)
Complete ICD-10-CM coding and documentation guide for E. coli 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 E. coli 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 E. coli is identified. |
|
| B96.20 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere | Use as an additional code with N39.0 when E. coli is the identified organism. |
|
| A41.51 | Sepsis due to Escherichia coli [E. coli] | Use when sepsis is present and E. coli is confirmed as the causative organism. |
|
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 E. coli UTI
Essential facts and insights about E. coli Urinary Tract Infection
Primary ICD-10-CM Codes for physician initial coli urinary tract infection
Decision Criteria
clinical Criteria
- Symptoms of UTI with positive urine culture for E. coli.
B96.20 - Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
Use as an additional code with N39.0 when E. coli is the identified organism.
Applicable To
- E. coli as causative organism
Clinical Validation Requirements
- Urine culture confirming E. coli
Coding Notes
Do not use with A41.51 if sepsis is present.
A41.51 - Sepsis due to Escherichia coli [E. coli]
Use when sepsis is present and E. coli is confirmed as the causative organism.
Applicable To
- Sepsis with E. coli as the causative organism
Clinical Validation Requirements
- Blood culture confirming E. coli
- Clinical signs of sepsis
Coding Notes
Sequence as primary when sepsis is present.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.20Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute cystitis without hematuria
N30.00Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting E. coli 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 treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure lab results are reviewed and documented., Use EHR prompts to capture culture data.
Impact
Reimbursement: May lead to lower DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure urine culture results are documented and use B96.20.
Impact
Reimbursement: Incorrect DRG assignment affecting reimbursement., Compliance: Violation of coding sequencing rules., Data Quality: Misrepresentation of clinical severity.
Mitigation Strategy
Sequence A41.51 first, followed by N39.0.
Impact
Risk of audits due to improper sequencing of sepsis and UTI codes.
Mitigation Strategy
Regular training on coding guidelines and sequencing rules.
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 E. coli Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for E. coli Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for E. coli Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Primary Care UTI Visit
Specialty: Primary CareRequired Elements
- Patient symptoms
- Urine culture results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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