Infections of bladder in pregnancy, second trimester
ICD-10 O23.12 is a billable code used to indicate a diagnosis of infections of bladder in pregnancy, second trimester.
Infections of the bladder, or urinary tract infections (UTIs), are common during pregnancy, particularly in the second trimester due to physiological changes that occur in the urinary system. The growing uterus can exert pressure on the bladder, leading to incomplete emptying and increased risk of bacterial growth. Symptoms may include dysuria, frequency, urgency, and suprapubic pain. If left untreated, UTIs can lead to more serious 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 is crucial and often involves antibiotics that are safe for use during pregnancy, such as nitrofurantoin or amoxicillin, while avoiding those that may pose risks to fetal development. Regular prenatal care and monitoring are essential to manage and prevent UTIs effectively during this critical period.
Detailed documentation of symptoms, urinalysis results, and treatment plans is essential for accurate coding.
A pregnant patient presents with dysuria and frequency; urinalysis shows bacteria, leading to a diagnosis of UTI.
Coders must be aware of the specific antibiotics prescribed and their safety profiles during pregnancy.
Comprehensive documentation of maternal and fetal health, including any complications arising from UTIs.
A high-risk pregnant patient with a history of recurrent UTIs requiring specialized management.
Consideration of maternal-fetal interactions and potential impacts of infections on fetal development.
Used during prenatal visits to screen for UTIs in pregnant patients.
Document the reason for urinalysis and any findings.
Obstetricians should ensure that urinalysis results are interpreted in the context of pregnancy.
Common symptoms include dysuria (painful urination), increased frequency and urgency of urination, and suprapubic pain. Some women may also experience fever or chills if the infection is more severe.
