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.
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.
Patients may complain of one or multiple symptoms which include fever, dysuria, hematuria, incontinence, decreased urine output, pain in abdomen or back, nausea, vomiting or diarrhea. Physician does a thorough physical examination and takes clinical history of the patient.
Andrea is a 50-year-old woman coming to emergency room for pain when urinating and burning sensation. She does feel lower back pain from 3 weeks. She never had any urinary problems earlier. She is a diabetic patient and takes insulin daily. Physical examination shows abdominal tenderness. Pelvic examination is normal. No signs of vaginitis or cervicitis found. Urinalysis is done based on the examination. After reviewing the results the case was diagnosed as UTI.
N39.0 is a valid billable ICD-10 diagnosis code for Urinary tract infection, site not specified . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
NEC Not elsewhere classifiable#N#This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code. This abbreviation is the equivalent of unspecified. This note further define, or give examples of, the content of the code or category.
List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of “other specified” codes, the terms are a list of the various conditions assigned to that code.
An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.
Other disorders of urinary system N39- 1 hematuria NOS (#N#ICD-10-CM Diagnosis Code R31#N#R31 Hematuria#N#R31.0 Gross hematuria#N#R31.1 Benign essential microscopic hematuria#N#R31.2 Other microscopic hematuria#N#R31.21 Asymptomatic microscopic hematuria#N#R31.29 Other microscopic hematuria#N#R31.9 Hematuria, unspecified#N#R31.-) 2 recurrent or persistent hematuria (#N#ICD-10-CM Diagnosis Code N02#N#N02 Recurrent and persistent hematuria#N#N02.0 Recurrent and persistent hematuria with minor...#N#N02.1 Recurrent and persistent hematuria with focal...#N#N02.2 Recurrent and persistent hematuria with diffu...#N#N02.3 Recurrent and persistent hematuria with diffu...#N#N02.4 Recurrent and persistent hematuria with diffu...#N#N02.5 Recurrent and persistent hematuria with diffu...#N#N02.6 Recurrent and persistent hematuria with dense...#N#N02.7 Recurrent and persistent hematuria with diffu...#N#N02.8 Recurrent and persistent hematuria with other...#N#N02.9 Recurrent and persistent hematuria with unspe...#N#N02.A Recurrent and persistent hematuria with C3 gl...#N#N02.-) 3 recurrent or persistent hematuria with specified morphological lesion (#N#ICD-10-CM Diagnosis Code N02#N#N02 Recurrent and persistent hematuria#N#N02.0 Recurrent and persistent hematuria with minor...#N#N02.1 Recurrent and persistent hematuria with focal...#N#N02.2 Recurrent and persistent hematuria with diffu...#N#N02.3 Recurrent and persistent hematuria with diffu...#N#N02.4 Recurrent and persistent hematuria with diffu...#N#N02.5 Recurrent and persistent hematuria with diffu...#N#N02.6 Recurrent and persistent hematuria with dense...#N#N02.7 Recurrent and persistent hematuria with diffu...#N#N02.8 Recurrent and persistent hematuria with other...#N#N02.9 Recurrent and persistent hematuria with unspe...#N#N02.A Recurrent and persistent hematuria with C3 gl...#N#N02.-) 4 proteinuria NOS (#N#ICD-10-CM Diagnosis Code R80#N#R80 Proteinuria#N#R80.0 Isolated proteinuria#N#R80.1 Persistent proteinuria, unspecified#N#R80.2 Orthostatic proteinuria, unspecified#N#R80.3 Bence Jones proteinuria#N#R80.8 Other proteinuria#N#R80.9 Proteinuria, unspecified#N#R80.-)
A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code ( N39) and the excluded code together.
The coding of severe sepsis requires a minimum of two codes: first a code for the underlying systemic infection, followed by a code from subcategory R65. 2, Severe sepsis.
The coding of severe sepsis requires a minimum of two codes: first a code for the underlying systemic infection, followed by a code from subcategory R65. 2, Severe sepsis. If the causal organism is not documented, assign code A41. 9, Sepsis, unspecified organism, for the infection.