AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 3; Ask the Editor
Acute Pyelonephritis due to Infection of Ileal Conduit Neobladder
A patient with an ileal conduit neobladder is admitted with fever and abdominal discomfort due to acute pyelonephritis. A query to the provider clarified recurrent acute pyelonephritis secondary to ileal conduit. How should this condition be coded? ...
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Article Overview
This article explains a coding scenario involving an ileal conduit neobladder, a urinary tract infection, and acute pyelonephritis. It is relevant to coders, CDI staff, and billing professionals working with urology, inpatient diagnoses, and complication/infection coding. The article focuses on how the case is classified and notes the role of any identified infectious agent.
Why This Topic Matters
Accurate coding of urinary device-related infection cases affects diagnosis assignment, reporting, and record interpretation for patients with surgically altered urinary anatomy. It helps coding professionals recognize the broad category of conditions involved in this type of admission.
What You Will Learn
- How a urinary device-related infection case is categorized at a high level.
- How acute pyelonephritis is addressed in the context of an ileal conduit neobladder.
- Why identification of an infectious agent may be relevant to the coding scenario.
- What types of diagnosis coding issues arise in altered urinary anatomy cases.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Billing professionals
- Urology practice staff
Codes Discussed
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