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v1.0.0
ICD-10 Guide
ICD-10 CodesO23.92

O23.92

Billable

Unspecified genitourinary tract infection in pregnancy, second trimester

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O23.92 is a billable code used to indicate a diagnosis of unspecified genitourinary tract infection in pregnancy, second trimester.

Key Diagnostic Point:

Genitourinary tract infections (UTIs) during pregnancy are common and can pose significant risks to both the mother and fetus if left untreated. In the second trimester, hormonal changes and anatomical shifts can predispose pregnant individuals to infections. Symptoms may include dysuria, frequency, urgency, and suprapubic pain. However, some patients may be asymptomatic, making routine screening essential. The management of UTIs in pregnancy typically involves the use of antibiotics that are safe for both the mother and fetus. Commonly prescribed antibiotics include nitrofurantoin and amoxicillin, while certain medications like tetracycline and fluoroquinolones are contraindicated due to potential teratogenic effects. It is crucial for healthcare providers to monitor the patient's response to treatment and to consider the potential for recurrent infections, which may necessitate further evaluation or prophylactic measures. Proper coding of these infections is vital for accurate patient records and appropriate reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and presentation of UTIs in pregnancy.
  • Need for differentiation between acute and chronic infections.
  • Potential overlap with other pregnancy-related conditions.
  • Documentation of antibiotic safety and effectiveness.

Audit Risk Factors

  • Inadequate documentation of symptoms leading to misdiagnosis.
  • Failure to document antibiotic choice and rationale.
  • Lack of follow-up notes on treatment efficacy.
  • Inconsistent coding for recurrent infections.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, symptom description, and treatment plan.

Common Clinical Scenarios

Patient presents with dysuria and frequency; urine culture confirms UTI.

Billing Considerations

Ensure documentation reflects trimester-specific risks and treatment adjustments.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessment of maternal and fetal health, including any complications.

Common Clinical Scenarios

High-risk patient with recurrent UTIs requiring specialized management.

Billing Considerations

Focus on potential impacts of infections on fetal development and maternal health.

Coding Guidelines

Inclusion Criteria

Use O23.92 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the code reflects the specific trimester and the nature of the infection
  • Documentation must support the diagnosis and treatment plan

Exclusion Criteria

Do NOT use O23.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

87086CPT Code

Urine culture, bacterial

Clinical Scenario

Ordered when a UTI is suspected in a pregnant patient.

Documentation Requirements

Document the reason for the culture and any prior UTI history.

Specialty Considerations

Ensure that the culture results are linked to the diagnosis for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including UTIs, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including UTIs, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including UTIs, which enhances the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    CDC Guidelines for Treating UTIs in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Treating UTIs in Pregnancy

Frequently Asked Questions

What are the common symptoms of a genitourinary tract infection in pregnancy?

Common symptoms include dysuria, increased urinary frequency, urgency, and sometimes suprapubic pain. However, some patients may be asymptomatic, making routine screening important.