Unspecified infection of urinary tract in pregnancy
ICD-10 O23.4 is a billable code used to indicate a diagnosis of unspecified infection of urinary tract in pregnancy.
Unspecified urinary tract infections (UTIs) during pregnancy can pose significant risks to both the mother and fetus. These infections may arise from various pathogens and can lead to complications such as pyelonephritis, preterm labor, and low birth weight. Symptoms often include dysuria, frequency, urgency, and suprapubic pain. Diagnosis typically involves urinalysis and urine culture to identify the causative organism. Treatment is crucial and usually involves antibiotics that are safe for use during pregnancy. Commonly prescribed antibiotics include penicillins and cephalosporins, which have a favorable safety profile. However, it is essential to avoid certain medications, such as tetracyclines and fluoroquinolones, due to potential adverse effects on fetal development. Regular screening for UTIs is recommended in pregnant women, especially those with risk factors such as a history of recurrent UTIs or anatomical abnormalities.
Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential for accurate coding.
A pregnant patient presents with dysuria and is diagnosed with a UTI after urinalysis.
Coders must ensure that the infection is documented as occurring during pregnancy and note any complications.
Documentation must include maternal health history, risk factors, and any fetal monitoring results.
A high-risk pregnant patient with a history of recurrent UTIs is monitored closely for complications.
High-risk factors must be clearly documented to support the complexity of care provided.
Used when a pregnant patient presents with UTI symptoms.
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 and flank pain if the infection progresses.
