Wiki N39.0 uti

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
B
Code: N39.0
Urinary tract infection, site not specified
Excludes 1: candidiasis of urinary tract (B37.4-)
neonatal urinary tract infection (P39.3)
urinary tract infection of specified site, such as:
cystitis (N30.-)
urethritis (N34.-)
Use additional code (B95-B97), to identify infectious agent.
Parent Code Notes: N39
Excludes2: hematuria NOS (R31.-)
recurrent or persistent hematuria (N02.-)
recurrent or persistent hematuria with specified morphological lesion (N02.-)
proteinuria NOS (R80.-)

Block Notes
Other diseases of the urinary system (N30-N39)
Excludes 1: urinary infection (complicating):
abortion or ectopic or molar pregnancy (O00-O07, O08.8)
pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)

Coding Guidelines
Diseases of the genitourinary system (N00-N99)
Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

karenpez

Contributor
Messages
16
Location
Columbus Ohio
Best answers
0
I have recently started receiving denials from our billing office regarding the use of N39.0 (UTI) without the additional B95-B97 code. When I query the physicians they tell me they may never know the infectious agent because they do not test for it. This just seems to be an issue that has just started. Is anyone else receiving these denials and how are you coding these without the B95-B97? My gut reaction is telling me signs and symptoms but the physicians have me questioning my gut!! Please help!
thanks
Karen
 

mitchellde

True Blue
Messages
13,537
Location
Columbia, MO
Best answers
2
N39.0 is one of those nasty unspecified codes. However it will be up to us to teach the insurance payers that this is an acceptable use of unspecified. Providers are expected (allowed ?) to diagnosis infections based solely on an examination of the patient. Because this is often the case there will be no way for the provider to know the offending organism. Therefore you will need to appeal these with that type of logic.
 

kwatson0

Contributor
Messages
11
Best answers
0
I have recently started receiving denials from our billing office regarding the use of N39.0 (UTI) without the additional B95-B97 code. When I query the physicians they tell me they may never know the infectious agent because they do not test for it. This just seems to be an issue that has just started. Is anyone else receiving these denials and how are you coding these without the B95-B97? My gut reaction is telling me signs and symptoms but the physicians have me questioning my gut!! Please help!
thanks
Karen

Which insurance companies are denying? our lead coder said you should bill symptoms per guidelines. Send patient for culture and use B code if applicable second appointment.
 

MacksMom

Contributor
Messages
20
Location
Spring Hill, TN
Best answers
0
N39.0 is one of those nasty unspecified codes. However it will be up to us to teach the insurance payers that this is an acceptable use of unspecified. Providers are expected (allowed ?) to diagnosis infections based solely on an examination of the patient. Because this is often the case there will be no way for the provider to know the offending organism. Therefore you will need to appeal these with that type of logic.

The guidelines for the correct coding of a UTI are stated in the ICD10 book. You can try to appeal to the AMA to change the ICD10 guidelines, but the guidelines were put into place for a reason. The guidelines under diagnosis N39.0 state that we must use an additional code between B95-B97 to identify the infectious agent. Being able to diagnose a patient with a UTI without a culture is becoming a thing of the past. ICD10 is seeing to that. Soon, our providers will be paid based on the diagnoses they use. We want our providers to code to the highest specificity so that they receive maximum payment for the services they render. If we continue to allow our providers to code incorrectly, use unspecified diagnosis codes, do the same thing they 've always done in the past, then we're doing a disservice to not only ourselves and our providers we are also doing a disservice to our patients. I'm helping to educate our providers, and our providers appreciate it.
 
Top