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question about UTI dx

  1. Default question about UTI dx
    Exam Training Packages
    Good morning,

    My physician dx UTI with based on urinalysis. In order to code a UTI, I must also code the bateria. Without a culture, is it appropriate to code 599.0 and 041.9? Also, if there is a culture and the results come back stating "no growth" do I code the symptoms only?

    Thanks in advance for your assistance.

  2. #2
    Columbia, MO
    The physician is allowed to diagnosis infections based on the presentation of the patient, for a UTI you do not need the bacteria. Nor do you need to wait for the culture, and if you did and the culture states no growth if the documentation states a UTI then a UTI is what you code. You are not the doctor and you may not diagnose the patient nor second guess a diagnosis rendered.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Thanks for your reply. The ICD-9 code for 599.0 states to "use additional code to identify organism". Thats why I asked, because that is not always specified.

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