646.51 - Asymptomatic bacteriuria in pregnancy, delivered, with or without mention of antepartum condition is a topic covered in the ICD-10-CM.
ICD-10 | Bacteriuria (R82. 71)
Asymptomatic bacteriuria is defined as the presence of significant bacteriuria without the symptoms of an acute urinary tract infection. Symptomatic urinary tract infections are divided into lower tract (acute cystitis) or upper tract (acute pyelonephritis) infections.
CMS did note that some “unspecified” codes could still be used. For example, one of the codes they reclassified as “acceptable” — Urinary tract infection, site not specified (N39. 0) — is often the primary diagnosis code.
A patient with asymptomatic bacteriuria is defined as having colonization with one or more organisms in a urine specimen without symptoms or infection. Symptomatic bacteriuria is associated with an infection in the urinary tract, usually by a single organism.
ICD-10-CM Diagnosis Code R82 R82.
Diagnosis of asymptomatic bacteriuria is made by urine culture. Either a properly collected clean-catch specimen or a catheterized specimen is acceptable. The Infectious Diseases Society of America (IDSA) has established criteria for diagnosing asymptomatic bacteriuria.
The term asymptomatic bacteriuria refers to isolation of bacteria in an appropriately collected urine specimen from an individual without symptoms of urinary tract infection (UTI).
Because of increasing antimicrobial resistance, it is important not to treat patients with asymptomatic bacteriuria unless there is evidence of potential benefit. Women who are pregnant should be screened for asymptomatic bacteriuria in the first trimester and treated, if positive.
0 Urinary tract infection, site not specified. Use additional code (B95-B98), if desired, to identify infectious agent.
N39. 0 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 N39. 0 became effective on October 1, 2021.
0 - Urinary tract infection, site not specified.
The presence of viable bacteria circulating in the blood. Fever, chills, tachycardia, and tachypnea are common acute manifestations of bacteremia. The majority of cases are seen in already hospitalized patients, most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion.
The 2022 edition of ICD-10-CM R78.81 became effective on October 1, 2021.