ICD-10 Coding for Ureaplasma Infection(B96.8, N39.0)
Complete ICD-10-CM coding and documentation guide for Ureaplasma Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ureaplasma Infection
B96.8Primary Range
Other specified bacterial agents as the cause of diseases classified elsewhere
Used for identifying Ureaplasma as the causative agent in infections.
Urinary tract infection, site not specified
Used as a primary code for unspecified UTIs, with B96.8 as an additional code for Ureaplasma.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B96.8 | Other specified bacterial agents as the cause of diseases classified elsewhere | Use when Ureaplasma is confirmed as the causative agent of an infection. |
|
| N39.0 | Urinary tract infection, site not specified | Use for UTIs when the site is unspecified. |
|
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 Ureaplasma
Essential facts and insights about Ureaplasma Infection
Primary ICD-10-CM Codes for ureaplasma
Decision Criteria
clinical Criteria
- PCR confirmation of Ureaplasma species
coding Criteria
- Use B96.8 with primary infection codes
Applicable To
- Ureaplasma urealyticum
- Ureaplasma parvum
Clinical Validation Requirements
- PCR confirmation of Ureaplasma species
- Culture with quantitative bacterial load
Code-Specific Risks
- Incorrectly using without confirmatory testing
- Omitting additional codes for specific infections
Coding Notes
- Ensure PCR or culture confirms Ureaplasma before coding.
N39.0 - Urinary tract infection, site not specified
Use for UTIs when the site is unspecified.
Applicable To
- Unspecified UTI
Excludes
- Specific site UTIs
Clinical Validation Requirements
- Symptoms of UTI
- Positive urine culture
Coding Notes
Document symptoms and culture results.
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.
Chlamydial infection of lower genitourinary tract
A56.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ureaplasma Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B96.8.
Impact
Clinical: Lack of specificity in treatment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify the species, Use PCR results for documentation
Impact
Reimbursement: May result in lower DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on infection causation.
Mitigation Strategy
Add B96.8 to specify Ureaplasma as the causative agent.
Impact
Failure to specify Ureaplasma can lead to audit issues.
Mitigation Strategy
Ensure PCR confirmation is documented and coded.
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 Ureaplasma Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ureaplasma Infection
Use these documentation templates to ensure complete and accurate documentation for Ureaplasma Infection. These templates include all required elements for proper coding and billing.
Ureaplasma UTI
Specialty: UrologyRequired Elements
- Symptoms of UTI
- PCR confirmation of Ureaplasma
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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