ICD-10 Coding for Recurrent Urinary Tract Infection, Unspecified(N39.0)
Complete ICD-10-CM coding and documentation guide for Recurrent Urinary Tract Infection, Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Recurrent Urinary Tract Infection, Unspecified
N30-N39Primary Range
Other diseases of the urinary system
This range includes codes for urinary tract infections and related conditions.
Key Information: ICD-10 code for recurrent urinary tract infection unspecified
Essential facts and insights about Recurrent Urinary Tract Infection, Unspecified
Primary ICD-10-CM Code for recurrent urinary tract infection unspecified
Decision Criteria
clinical Criteria
- Presence of UTI symptoms and positive culture
documentation Criteria
- Explicit mention of 'recurrent UTI' in the medical record
Applicable To
- Recurrent urinary tract infection without specified site
Clinical Validation Requirements
- Presence of symptoms such as dysuria, frequency, urgency
- Positive urine culture with ≥10^5 CFU/mL
Code-Specific Risks
- Avoid using for asymptomatic bacteriuria
- Do not use if a specific site is documented
Coding Notes
- Ensure documentation specifies 'recurrent' and includes culture results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of urinary tract infections
Z87.440Differential 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 Recurrent Urinary Tract Infection, Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.0.
Impact
Clinical: Misrepresentation of patient condition, Regulatory: Potential audit issues, Financial: Claim denials
Mitigation Strategy
Verify symptom documentation, Ensure culture results are recorded
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R82.71 for bacteriuria without symptoms.
Impact
Lack of specific symptom documentation can lead to audit issues.
Mitigation Strategy
Implement thorough documentation 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 Recurrent Urinary Tract Infection, Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Recurrent Urinary Tract Infection, Unspecified
Use these documentation templates to ensure complete and accurate documentation for Recurrent Urinary Tract Infection, Unspecified. These templates include all required elements for proper coding and billing.
Primary Care Visit for Recurrent UTI
Specialty: Primary CareRequired Elements
- Symptom duration
- Culture results
- Previous UTI episodes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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