Wiki Need dx code for pregnancy and uti???

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G
Code: O86.2

Code Name: ICD-10 Code for Urinary tract infection following delivery

Block: Complications predominantly related to the puerperium (O85-O92)

Details: Urinary tract infection following delivery
O86
Use additional code (B95-B97), to identify infectious agent

Excludes2: infection during labor (O75.3)
obstetrical tetanus (A34)
Guidelines: Pregnancy, childbirth and the puerperium (O00-O9A)

Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery
Use additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy

Excludes 1: supervision of normal pregnancy (Z34.-)

Excludes 2: mental and behavioral disorders associated with the puerperium (F53)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

For more details on O86.2, ICD-10 Code for Urinary tract infection following delivery, visit: https://coder.aapc.com/icd-10-codes/O86.2

Networker3412

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patient is seen for abdominal pain and does not know she is pregnant. final diagnostic statement is : UTI, Pregnancy incidental. My coworkers tell me that i am supposed to code DX 646.63 and 599.0. Is this correct? I thought per coding guidelines that if the physician states " incidental" then its not a complication so you can not code this scenario as a complication.
 

mitchellde

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I am unsure why he would document pregnancy incidental... did he document it that way in the note or was this what was marked on the superbill? Most of the time the UTI is a complication of being pregnant.
 

Networker3412

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they did a pregnancy test during the visit and it came back positive so the dr wrote down on his final statement " UTI, Pregnancy incidental"
 

LLovett

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I would code 599.0 and V22.2. He isn't treating the pregnancy, therefore it is incidental to this visit.

Just my opinion,

Laura, CPC
 

dmgomez

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I would agree that the correct way would be to code the 599.0 and v22.2 as secondary.
 

mitchellde

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Since the physician documented pregnancy incidental then I agree the way to code it is the 599.0 and V22.2, but only because he documented it that way. Had he documented the UTI and added patient has postive pregnancy result or something along that line then it would 646.63.
 

Networker3412

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thank you

so then i am correct then since the physician wrote incidental then you would not code this as a complication. Thank you all for your opinions.
 

mitchellde

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No, to use the V22.2 the physician must document the pregnancy is incidental.. in the guidelines it states that it is the "physicians responsibility to state that the current condition being trated is not affecting the management of the preganancy'. Without this documentation we have to code all conditions as either complications of the pregnancy or current conditions which complicate the management (648.xx). So the UTI with pregnancy stated would be the 646.63 first listed. Remember that chapter 11 codes (630-677) have sequencing priority and go before all other codes.
 
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postpartum and uti

can i bill 646.64 and 599.0 togheter? or only 646.64? came back a week after delivery with UTI.
 

ogregory

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obxcoder

Thank you all for your knowledgeable answers! A great resource for a new coder! :)
 
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