Unspecified genitourinary tract infection in pregnancy, first trimester
ICD-10 O23.91 is a billable code used to indicate a diagnosis of unspecified genitourinary tract infection in pregnancy, first trimester.
Genitourinary tract infections (UTIs) during pregnancy are common and can pose significant risks to both the mother and fetus if not properly managed. In the first trimester, these infections may present with nonspecific symptoms such as dysuria, frequency, and urgency. The diagnosis of an unspecified genitourinary tract infection in pregnancy requires careful clinical evaluation, including urinalysis and urine culture to identify the causative organism. Common pathogens include Escherichia coli and Group B Streptococcus. Treatment typically involves the use of antibiotics that are safe for use during pregnancy, such as nitrofurantoin or amoxicillin, while avoiding those contraindicated, like tetracyclines and fluoroquinolones. Early identification and treatment are crucial to prevent complications such as pyelonephritis, which can lead to preterm labor and low birth weight. Coders must ensure accurate documentation of symptoms, laboratory findings, and treatment plans to support the use of this code.
Detailed documentation of patient history, presenting symptoms, urinalysis results, and prescribed treatments.
A pregnant patient presents with dysuria and frequency; urinalysis shows bacteria, leading to a diagnosis of UTI.
Consideration of antibiotic safety in pregnancy and potential side effects.
Comprehensive documentation for high-risk pregnancies, including maternal health history and fetal monitoring.
A patient with a history of recurrent UTIs presents in the first trimester; close monitoring is required.
Increased vigilance for complications such as pyelonephritis and its impact on fetal health.
Ordered when a UTI is suspected in a pregnant patient.
Document the reason for the culture and any prior treatments.
Ensure that the culture results are linked to the diagnosis for accurate coding.
Common symptoms include dysuria, increased urinary frequency, urgency, and sometimes flank pain or fever. It's important to differentiate these from normal pregnancy symptoms.
