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ICD-10 Guide
ICD-10 CodesO23.2

O23.2

Billable

Infections of urethra in pregnancy

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

Code Description

ICD-10 O23.2 is a billable code used to indicate a diagnosis of infections of urethra in pregnancy.

Key Diagnostic Point:

Infections of the urethra during pregnancy can lead to significant maternal and fetal complications if not properly diagnosed and treated. These infections are often caused by bacteria that can ascend from the lower urinary tract, leading to conditions such as cystitis or pyelonephritis. Symptoms may include dysuria, increased urinary frequency, and suprapubic pain. Pregnant women are particularly susceptible to urinary tract infections (UTIs) due to physiological changes such as increased urinary stasis and hormonal influences that affect the urinary tract. Early diagnosis and appropriate antibiotic treatment are crucial to prevent complications such as preterm labor or low birth weight. Antibiotics that are safe for use during pregnancy include penicillins, cephalosporins, and certain macrolides, while others, such as tetracyclines and fluoroquinolones, should be avoided due to potential risks to the developing fetus. Regular screening for UTIs in pregnant women is recommended, especially in those with risk factors such as a history of recurrent infections.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of urinary tract infections (e.g., cystitis vs. pyelonephritis)
  • Understanding the implications of antibiotic safety during pregnancy
  • Recognizing the potential for complications affecting both mother and fetus
  • Navigating documentation requirements for high-risk pregnancies

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment plans
  • Failure to specify the type of infection (e.g., acute vs. chronic)
  • Misclassification of the infection severity
  • Inconsistent coding of co-existing conditions

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, including symptoms, treatment plans, and follow-up care.

Common Clinical Scenarios

A pregnant patient presenting with dysuria and urinary frequency, diagnosed with a UTI.

Billing Considerations

Consideration of the trimester of pregnancy when prescribing antibiotics.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health status, including any complications.

Common Clinical Scenarios

A high-risk pregnant patient with a history of recurrent UTIs requiring specialized management.

Billing Considerations

Monitoring for potential complications such as preterm labor or fetal distress.

Coding Guidelines

Inclusion Criteria

Use O23.2 When
  • According to ICD
  • 10 coding guidelines, O23
  • 2 should be used when documenting infections of the urethra specifically during pregnancy
  • Coders must ensure that the diagnosis is supported by clinical documentation, including symptoms and treatment plans

Exclusion Criteria

Do NOT use O23.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits after diagnosis and treatment of a UTI in pregnancy.

Documentation Requirements

Document the patient's symptoms, treatment response, and any further management plans.

Specialty Considerations

Obstetricians should ensure that the visit is clearly linked to the pregnancy.

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 infections of the urethra, 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 infections of the urethra, 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 infections of the urethra, which enhances the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    CDC Guidelines for Antibiotic Use in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Antibiotic Use in Pregnancy

Frequently Asked Questions

What are the common symptoms of urethral infections in pregnancy?

Common symptoms include dysuria, increased urinary frequency, urgency, and suprapubic pain. It's important for pregnant women to report these symptoms promptly to their healthcare provider.