Infections of bladder in pregnancy
ICD-10 O23.1 is a billable code used to indicate a diagnosis of infections of bladder in pregnancy.
Infections of the bladder, commonly referred to as urinary tract infections (UTIs), are prevalent during pregnancy due to physiological changes that occur in the urinary system. These changes include increased urinary stasis and alterations in the immune response, which can predispose pregnant individuals to infections. Symptoms may include dysuria, frequency, urgency, and suprapubic pain. If left untreated, bladder infections can lead to more severe complications such as pyelonephritis, which poses risks to both the mother and fetus. Diagnosis typically involves urinalysis and urine culture to identify the causative organism. Treatment often includes antibiotics that are safe for use during pregnancy, such as nitrofurantoin or amoxicillin, while avoiding those contraindicated, like tetracyclines. Close monitoring and follow-up are essential to ensure resolution of the infection and to prevent recurrence.
Documentation should include patient history, presenting symptoms, diagnostic tests performed, and treatment plans.
A pregnant patient presents with dysuria and frequency; urinalysis confirms a UTI.
Coders must ensure that the infection is documented as occurring during pregnancy and note any complications.
Detailed documentation of maternal health status, fetal monitoring, and any high-risk factors.
A high-risk pregnant patient with a history of recurrent UTIs is monitored closely for signs of infection.
Consideration of maternal-fetal implications and the need for potential hospitalization or specialized care.
Used when a pregnant patient presents with UTI symptoms and requires confirmation of the infection.
Document the reason for the culture and any previous UTI history.
Ensure that the culture results are linked to the obstetric diagnosis.
Common symptoms include dysuria, increased frequency and urgency of urination, and suprapubic pain. It's important for pregnant patients to report these symptoms promptly to their healthcare provider.
