ICD-10 Coding for Sepsis Secondary to Urinary Tract Infection(A41.51, N39.0, T83.511A)
Complete ICD-10-CM coding and documentation guide for Sepsis Secondary to 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 Sepsis Secondary to Urinary Tract Infection
A41-A41.9Primary Range
Sepsis codes
Primary range for coding sepsis, including organism-specific codes.
Complications of genitourinary devices, implants, and grafts
Used for catheter-associated urinary tract infections leading to sepsis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A41.51 | Sepsis due to Escherichia coli | Use when sepsis is confirmed due to E. coli infection. |
|
| N39.0 | Urinary tract infection, site not specified | Use when UTI is present but not the primary cause of sepsis. |
|
| T83.511A | Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter | Use when CAUTI is the cause of sepsis. |
|
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 sepsis due to UTI
Essential facts and insights about Sepsis Secondary to Urinary Tract Infection
Primary ICD-10-CM Codes for sepsis urinary tract infection
Decision Criteria
clinical Criteria
- Confirmed E. coli in blood culture
Applicable To
- Sepsis due to E. coli
Excludes
- Urosepsis
Clinical Validation Requirements
- Blood culture positive for E. coli
- Symptoms of systemic infection
Code-Specific Risks
- Incorrectly coding as urosepsis
Coding Notes
- Ensure organism is specified in documentation.
N39.0 - Urinary tract infection, site not specified
Use when UTI is present but not the primary cause of sepsis.
Applicable To
- UTI NOS
Excludes
- Cystitis
Clinical Validation Requirements
- Urine culture with >10^5 CFU/mL
Coding Notes
Ensure UTI is documented as secondary to sepsis.
T83.511A - Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter
Use when CAUTI is the cause of sepsis.
Applicable To
- CAUTI leading to sepsis
Excludes
- Non-infective catheter complications
Clinical Validation Requirements
- Presence of indwelling catheter
- Infection documented
Coding Notes
Document catheter duration and infection link.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Severe sepsis without septic shock
R65.20Differential 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 Sepsis Secondary to Urinary Tract Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.51.
Impact
Clinical: Inaccurate severity assessment, Regulatory: Non-compliance with coding standards, Financial: Reduced reimbursement
Mitigation Strategy
Use structured templates, Include organ dysfunction in notes
Impact
Reimbursement: Potential denial of claims, Compliance: Non-compliance with ICD-10 guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Query for specific organism and code as sepsis due to UTI.
Impact
Sepsis codes with LOS ≤3 days may trigger audits.
Mitigation Strategy
Ensure comprehensive documentation of sepsis severity and treatment.
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 Sepsis Secondary to Urinary Tract Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sepsis Secondary to Urinary Tract Infection
Use these documentation templates to ensure complete and accurate documentation for Sepsis Secondary to Urinary Tract Infection. These templates include all required elements for proper coding and billing.
Sepsis due to UTI in emergency department
Specialty: Emergency MedicineRequired Elements
- Organism identification
- Sepsis severity
- Organ dysfunction
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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