Infections of kidney in pregnancy
ICD-10 O23.0 is a billable code used to indicate a diagnosis of infections of kidney in pregnancy.
Infections of the kidney during pregnancy, commonly referred to as pyelonephritis, can pose significant risks to both the mother and fetus. These infections often arise from untreated urinary tract infections (UTIs) and can lead to serious complications such as preterm labor, low birth weight, and maternal sepsis. Symptoms may include fever, flank pain, nausea, and vomiting. Diagnosis typically involves urinalysis, urine culture, and imaging studies if necessary. Treatment usually includes antibiotics that are safe for use during pregnancy, such as penicillins and cephalosporins, while avoiding those that may pose risks to fetal development. Close monitoring and follow-up are essential to ensure resolution of the infection and to mitigate risks associated with pregnancy. Proper coding of this condition is crucial for accurate billing and to reflect the complexity of care provided.
Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential. Include any relevant history of UTIs or kidney issues.
A pregnant patient presenting with fever and flank pain, diagnosed with pyelonephritis and treated with antibiotics.
Consider the gestational age and any potential impact on the fetus when coding and documenting.
High-risk pregnancy documentation must include comprehensive assessments of maternal and fetal health, including any complications arising from the infection.
A high-risk pregnant patient with a history of recurrent UTIs presenting with acute pyelonephritis requiring hospitalization.
Focus on the management of both maternal and fetal health, including monitoring for preterm labor.
Used when a pregnant patient is admitted for treatment of a kidney infection.
Document the patient's history, examination findings, and treatment plan.
Obstetricians should ensure that all aspects of maternal and fetal health are addressed in documentation.
Commonly used antibiotics include penicillins (like amoxicillin) and cephalosporins (like ceftriaxone), which are considered safe during pregnancy. Avoid using tetracyclines and fluoroquinolones due to potential risks to fetal development.
