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ICD-10 Guide
ICD-10 CodesO23.593

O23.593

Billable

Infection of other part of genital tract in pregnancy, third trimester

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

Code Description

ICD-10 O23.593 is a billable code used to indicate a diagnosis of infection of other part of genital tract in pregnancy, third trimester.

Key Diagnostic Point:

Infections of the genital tract during pregnancy can pose significant risks to both the mother and the fetus, especially in the third trimester. O23.593 specifically refers to infections occurring in parts of the genital tract that are not classified under other specific codes. Common infections include bacterial vaginosis, vulvovaginitis, and other non-specific infections that may not be localized to the cervix or uterus. These infections can lead to complications such as preterm labor, chorioamnionitis, and postpartum infections. It is crucial for healthcare providers to monitor and treat these infections promptly to mitigate risks. Treatment often involves the use of antibiotics, which must be chosen carefully to ensure safety for both the mother and the developing fetus. The management of these infections requires a thorough understanding of the patient's obstetric history, current symptoms, and any previous infections, as well as the potential impact on the pregnancy outcome.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of infections that can be coded under this category
  • Need for precise documentation of infection type and location
  • Differentiation from other obstetric codes related to infections
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of infection type
  • Failure to specify the trimester of pregnancy
  • Misclassification of infection severity
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential. Providers should note any previous infections and their treatments.

Common Clinical Scenarios

A patient presents with symptoms of vulvovaginitis in the third trimester, requiring evaluation and treatment.

Billing Considerations

Coders must ensure that the infection is documented as occurring in the third trimester and that any treatments are compliant with pregnancy safety guidelines.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancies require comprehensive documentation, including maternal history, current health status, and fetal monitoring.

Common Clinical Scenarios

A high-risk patient with a history of recurrent urinary tract infections presents with new symptoms in the third trimester.

Billing Considerations

Special attention should be given to the potential impact of infections on fetal health and the need for multidisciplinary management.

Coding Guidelines

Inclusion Criteria

Use O23.593 When
  • According to the ICD
  • CM coding guidelines, it is essential to document the specific type of infection and its location within the genital tract
  • The trimester of pregnancy must also be clearly indicated
  • Coders should refer to the official coding guidelines for obstetric conditions to ensure compliance

Exclusion Criteria

Do NOT use O23.593 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 for patients with diagnosed infections during pregnancy.

Documentation Requirements

Documentation must include the patient's history, examination findings, and treatment plan.

Specialty Considerations

Obstetricians should ensure that the visit is clearly linked to the management of the infection.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of infections during pregnancy, improving the ability to track and manage these conditions. O23.593 provides a clear designation for infections of the genital tract that may not fit into other categories, enhancing clinical understanding and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of infections during pregnancy, improving the ability to track and manage these conditions. O23.593 provides a clear designation for infections of the genital tract that may not fit into other categories, enhancing clinical understanding and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of infections during pregnancy, improving the ability to track and manage these conditions. O23.593 provides a clear designation for infections of the genital tract that may not fit into other categories, enhancing clinical understanding and treatment planning.

Resources

Clinical References

  • •
    CDC Guidelines for Treating Infections in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Treating Infections in Pregnancy

Frequently Asked Questions

What are the common infections coded under O23.593?

Common infections include bacterial vaginosis, vulvovaginitis, and other non-specific infections of the genital tract that occur during the third trimester of pregnancy.