Infections of other parts of urinary tract in pregnancy, first trimester
ICD-10 O23.31 is a billable code used to indicate a diagnosis of infections of other parts of urinary tract in pregnancy, first trimester.
Infections of the urinary tract during pregnancy can pose significant risks to both the mother and the developing fetus. In the first trimester, these infections may include cystitis or pyelonephritis, which can lead to complications such as preterm labor or low birth weight if left untreated. 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 contraindicated, such as tetracyclines. Close monitoring is essential to ensure resolution of the infection and to prevent recurrence, as urinary tract infections (UTIs) are common in pregnant women due to anatomical and hormonal changes. Proper coding of these conditions is crucial for accurate medical records and reimbursement.
Documentation must include patient history, presenting symptoms, diagnostic tests performed, and treatment plans.
A pregnant patient presents with dysuria and frequency; urinalysis confirms a UTI.
Consideration of antibiotic safety and potential fetal effects is critical in documentation.
Detailed documentation of maternal and fetal health, including any complications arising from infections.
A high-risk pregnant patient with a history of recurrent UTIs requiring specialized management.
High-risk factors must be documented to justify the complexity of care and coding.
Used when a pregnant patient presents with UTI symptoms and requires confirmation of diagnosis.
Document the reason for the culture and any previous UTI history.
Ensure that the culture results are linked to the diagnosis for accurate coding.
Common symptoms include dysuria, increased frequency and urgency of urination, and suprapubic pain. Some women may also experience fever or flank pain if the infection progresses.
