Infections of urethra in pregnancy, second trimester
ICD-10 O23.22 is a billable code used to indicate a diagnosis of infections of urethra in pregnancy, second trimester.
Infections of the urethra during pregnancy can pose significant risks to both the mother and the developing fetus. In the second trimester, hormonal changes and anatomical shifts can increase susceptibility to urinary tract infections (UTIs), including urethral infections. Symptoms may include dysuria, increased urinary frequency, and suprapubic pain. If left untreated, these infections can lead to complications such as pyelonephritis, preterm labor, and low birth weight. 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 and fluoroquinolones. Close monitoring and follow-up are essential to ensure resolution of the infection and to mitigate risks to maternal and fetal health.
Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential for accurate coding.
A pregnant patient presents with dysuria and increased urinary frequency; urinalysis confirms a UTI.
Coders must be aware of the safe antibiotic options and contraindications during pregnancy.
Comprehensive documentation of maternal and fetal health status, including any complications.
A high-risk pregnant patient with a history of recurrent UTIs requires close monitoring and tailored treatment.
High-risk factors such as diabetes or previous preterm labor must be documented for accurate coding.
Used when a pregnant patient presents with UTI symptoms.
Document the reason for the culture and any previous UTI history.
Ensure that the culture is performed in accordance with obstetric guidelines.
Common symptoms include dysuria, increased urinary frequency, urgency, and sometimes suprapubic pain. It's important for pregnant women to report these symptoms promptly.
