Short description: Unsp infection of urinary tract in pregnancy, unsp trimester. The 2019 edition of ICD-10-CM O23.40 became effective on October 1, 2018.
Avoid coding unspecified UTI (N39.0) when specific site infection is mentioned. For example if both cystitis and UTI are mentioned it is not necessary to code UTI, instead code only cystitis.
E.Coli sepsis due to UTI, E.Coli UTI due to indwelling catheter. UTI ICD 10 codes for this scenario would be: T83.511A – Infection due to indwelling catheter A41.51 – E.coli sepsis
General rules to be followed while coding pregnancy ICD 10 visits- The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records. Any complications or conditions arising due to pregnancy, childbirth or puerperium should be coded using the codes from this chapter.
ICD-10-CM Code for Unspecified infection of urinary tract in pregnancy, unspecified trimester O23. 40.
ICD-10-CM Code for Escherichia coli [E. coli ] as the cause of diseases classified elsewhere B96. 2.
646.51 - Asymptomatic bacteriuria in pregnancy, delivered, with or without mention of antepartum condition. ICD-10-CM.
ICD-10 code Z16. 12 for Extended spectrum beta lactamase (ESBL) resistance is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Unspecified Escherichia coliICD-10 code B96. 20 for Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
9: Fever, unspecified.
There may be an increased chance for preterm rupture of membranes (a breaking of the amniotic sac, which holds the amniotic fluid around the developing baby), preterm delivery (delivery before 37 weeks of pregnancy) or stillbirth with severe E. coli infection.
The presence of bacteria in urine is also associated with a higher risk of premature birth and low birth weight. Pregnant women who have bacteria in their urine are usually given antibiotics to prevent possible complications – even if they don't have any symptoms.
Asymptomatic bacteriuria occurs when bacteria is present in a voided urine sample. It's caused by bacterial colonization of the urinary tract. A urinary tract infection (UTI) causes symptoms such as frequent urination, painful urination, or pelvic pain.
Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere. B96. 29 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Some germs, such as Escherichia coli (E. coli) and Klebsiella, produce an enzyme called extended spectrum beta-lactamase (ESBL). This enzyme makes the germ harder to treat with antibiotics. ESBL can cause a variety of illnesses, including: Urinary tract infections (UTIs)
Extended spectrum beta lactamase (ESBL) resistance Z16. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z16. 12 became effective on October 1, 2021.
Avoid coding unspecified UTI (N39.0) when specific site infection is mentioned. For example if both cystitis and UTI are mentioned it is not necessary to code UTI, instead code only cystitis. Urosepsis – This does not lead to any code in the alphabetic index.
Urinary Tract infection (UTI) is a very common infectious disease occurs commonly in aged women. As age goes up there will be structural changes happening in kidney. Muscles in the bladder, urethra and ureter become weaken. Urinary retention gets increased in the bladder and this creates an environment for bacterial growth.
Infection can happen in any part of the urinary tract – kidney, ureter, bladder or urethra. It is called as Cystitis, Urethritis and Pyelonephritis based on the site.
Urethritis. It is not necessary to mention the infectious agent when using ICD N39.0. If the infectious organism is mentioned, place the UTI code primary and organism secondary. Site specified infection should be coded to the particular site. For example, Infection to bladder to be coded as cystitis, infection to urethra to urethritis.
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.
Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.
Having a history of infertility, ectopic or molar pregnancies. Having a history of prior complicated pregnancy or pregnancies resulting in a pre-term delivery or a child with a genetic problem. Having a history of an in-utero procedure during previous pregnancy. Having social problems that is a threat to pregnancy.
Hydatidiform mole (Code range- O01.0 – O01.9) – Also known as molar pregnancy is an abnormal fertilized egg or a non-cancerous tumor of the placental tissue which mimics a normal pregnancy initially but later leads to vaginal bleeding along with severe nausea and vomiting.
If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.
The PDX is the main circumstance or complication of the pregnancy which necessitated the encounter when no delivery occurs. When delivery does occur, the PDX is the condition that prompted the admission. If there are multiple conditions that prompted the admission, sequence the one that is most related to the delivery as the PDX.
Sepsis due to post procedural obstetric surgical wound would be coded with a code from Chapter 15 first, followed by the specific infection. Chapter 15 codes have sequencing priority over the general coding guidelines.