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ICD-10 Guide
ICD-10 CodesO23.20

O23.20

Billable

Infections of urethra in pregnancy, unspecified trimester

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

Code Description

ICD-10 O23.20 is a billable code used to indicate a diagnosis of infections of urethra in pregnancy, unspecified trimester.

Key Diagnostic Point:

Infections of the urethra during pregnancy can pose significant risks to both the mother and fetus. These infections may be caused by various pathogens, including bacteria, viruses, and fungi, and can lead to complications such as urinary tract infections (UTIs), pyelonephritis, and preterm labor. Symptoms may include dysuria, increased urinary frequency, 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, as certain medications can adversely affect fetal development. It is crucial for healthcare providers to monitor the mother closely for any signs of complications and to ensure that the infection is adequately treated to prevent adverse outcomes. The unspecified trimester designation indicates that the infection may occur at any point during the pregnancy, necessitating careful management throughout the gestational period.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms of urinary infections in pregnancy.
  • Need for accurate documentation of trimester and severity of infection.
  • Differentiation from other urinary tract conditions, such as cystitis or pyelonephritis.
  • Potential for complications affecting both maternal and fetal health.

Audit Risk Factors

  • Inadequate documentation of the infection's severity and treatment plan.
  • Failure to specify the trimester of pregnancy.
  • Incorrect coding of related conditions or complications.
  • Lack of follow-up documentation to confirm resolution of the infection.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential for accurate coding.

Common Clinical Scenarios

A pregnant patient presents with dysuria and frequency; urinalysis reveals a UTI.

Billing Considerations

Consideration of antibiotic safety and potential fetal effects is critical in treatment planning.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Close monitoring for potential complications such as preterm labor or fetal distress.

Coding Guidelines

Inclusion Criteria

Use O23.20 When
  • Follow the official ICD
  • CM coding guidelines for obstetric conditions, ensuring accurate documentation of the trimester and any associated complications
  • Use additional codes as necessary to capture related conditions

Exclusion Criteria

Do NOT use O23.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

87086CPT Code

Urine culture, bacterial

Clinical Scenario

Used to confirm the presence of a urinary tract infection in a pregnant patient.

Documentation Requirements

Document the reason for the culture and any relevant clinical findings.

Specialty Considerations

Ensure that the culture is performed in accordance with obstetric guidelines.

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, improving the accuracy of data collection and reimbursement processes. O23.20 provides a clear framework for identifying infections of the urethra during pregnancy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of data collection and reimbursement processes. O23.20 provides a clear framework for identifying infections of the urethra during pregnancy.

Reimbursement & Billing Impact

reimbursement processes. O23.20 provides a clear framework for identifying infections of the urethra during pregnancy.

Resources

Clinical References

  • •
    CDC Guidelines for Treating Urinary Tract Infections in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Treating Urinary Tract Infections 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. Some patients may also experience fever or chills if the infection is severe.