ICD-10 Coding for Pseudomonas Urinary Tract Infection(N39.0, B96.5)
Complete ICD-10-CM coding and documentation guide for Pseudomonas 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 Pseudomonas Urinary Tract Infection
N30-N39Primary Range
Other diseases of the urinary system
This range includes codes for urinary tract infections, which are the primary focus for coding Pseudomonas UTIs.
Bacterial and viral infectious agents
This range includes codes for identifying infectious agents, such as Pseudomonas, that cause diseases classified elsewhere.
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 a UTI is confirmed but the specific site is not specified. |
|
| B96.5 | Pseudomonas (aeruginosa) as cause of diseases classified elsewhere | Use as an additional code to specify Pseudomonas as the causative organism in a UTI. |
|
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 Pseudomonas UTI
Essential facts and insights about Pseudomonas Urinary Tract Infection
Primary ICD-10-CM Codes for pseudomonas urinary tract infection
Decision Criteria
clinical Criteria
- Presence of urinary symptoms and positive urine culture
coding Criteria
- UTI confirmed but specific site not documented
Applicable To
- UTI
Excludes
- Asymptomatic bacteriuria (R82.71)
Clinical Validation Requirements
- Presence of urinary symptoms such as dysuria, urgency, or frequency
- Urine culture confirming infection
Code-Specific Risks
- Risk of undercoding if specific site is known but not documented
Coding Notes
- Always pair with B96.5 when Pseudomonas is confirmed as the causative organism.
B96.5 - Pseudomonas (aeruginosa) as cause of diseases classified elsewhere
Use as an additional code to specify Pseudomonas as the causative organism in a UTI.
Applicable To
- Pseudomonas infection
Clinical Validation Requirements
- Urine culture confirming Pseudomonas species
Coding Notes
This code identifies the organism and must be paired with a primary infection code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Pseudomonas 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 unnecessary treatment, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Ensure symptoms are documented, Confirm diagnosis with culture
Impact
Reimbursement: May lead to denied claims due to incomplete coding., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always pair B96.5 with a primary code like N39.0.
Impact
Failure to document organism and symptoms can lead to audit issues.
Mitigation Strategy
Ensure all relevant clinical information is documented.
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 Pseudomonas Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pseudomonas Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for Pseudomonas Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Primary Care UTI Diagnosis
Specialty: Primary CareRequired Elements
- Patient symptoms
- Urine culture results
- Antibiotic treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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