Unspecified infection of urinary tract in pregnancy, first trimester
ICD-10 O23.41 is a billable code used to indicate a diagnosis of unspecified infection of urinary tract in pregnancy, first trimester.
Unspecified urinary tract infections (UTIs) during the first trimester of pregnancy can pose significant risks to both maternal and fetal health. These infections may present with symptoms such as dysuria, frequency, urgency, and suprapubic pain. In pregnant patients, UTIs can lead to complications such as pyelonephritis, preterm labor, and low birth weight if left untreated. The first trimester is a critical period for fetal development, making prompt diagnosis and treatment essential. 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. Proper management of UTIs in pregnancy is crucial to ensure maternal well-being and optimal fetal outcomes.
Documentation must include detailed patient history, symptoms, urinalysis results, and treatment plans.
A pregnant patient presents with dysuria and frequency; urinalysis reveals a UTI.
Coders must ensure that the infection is documented as occurring in the first trimester and note any treatment provided.
High-risk pregnancy documentation must include comprehensive assessments of maternal and fetal health.
A patient with a history of recurrent UTIs presents for monitoring during pregnancy.
Consideration of the potential impact of UTIs on fetal development and maternal health is critical.
Used when a UTI is suspected in a pregnant patient.
Document the reason for the culture and any symptoms present.
Ensure that the culture results are linked to the diagnosis for accurate coding.
Common symptoms include dysuria, increased frequency of urination, urgency, and suprapubic pain. Some women may also experience fever or flank pain if the infection progresses.
