Unspecified genitourinary tract infection in pregnancy, third trimester
ICD-10 O23.93 is a billable code used to indicate a diagnosis of unspecified genitourinary tract infection in pregnancy, third trimester.
Genitourinary tract infections (UTIs) are common during pregnancy, particularly in the third trimester, due to physiological changes that occur in the urinary system. These infections can lead to significant complications if left untreated, including preterm labor, low birth weight, and increased risk of maternal morbidity. Symptoms may include dysuria, frequency, urgency, and suprapubic pain. 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 that may pose risks to the fetus. It is crucial for healthcare providers to monitor the patient closely for any signs of complications, such as pyelonephritis, which may require hospitalization and intravenous antibiotics. Proper coding of this condition is essential for accurate billing and to ensure that the patient receives appropriate care throughout their pregnancy.
Detailed patient history, including symptoms, urinalysis results, and treatment plans.
Patient presents with dysuria and frequency in the third trimester; urine culture confirms UTI.
Consideration of antibiotic safety and potential fetal effects.
Comprehensive documentation of maternal and fetal health, including any high-risk factors.
High-risk patient with recurrent UTIs requiring specialized management.
Monitoring for potential complications such as preterm labor or fetal distress.
Ordered when a UTI is suspected in a pregnant patient.
Document the reason for the culture and any previous UTI history.
Consider the implications of antibiotic choice based on culture results.
Common symptoms include dysuria (painful urination), increased urinary frequency, urgency, and suprapubic pain. Some patients may also experience fever or flank pain if the infection progresses.
