AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 2; Ask the Editor
Urinary Tract Infection During Delivery Episode
A patient presented to the hospital at 39 weeks gestation in active labor, with increasing back pain. She had a history of recurrent urinary tract infection (UTI) during the pregnancy. Urinalysis was positive for urinary tract infection and the provider confirmed this diagnosis. The patient received treatment for the infection and delivered a healthy infant. What is the appropriate code assignment for UTI that occurs during the delivery episode? ...
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Article Overview
This premium article explains the coding considerations for a urinary tract infection identified during a delivery episode. It is aimed at inpatient, OB, and professional coders who need to understand the broader obstetric coding context, including related delivery-related reporting elements and the circumstances under which the infection is coded in the pregnancy record.
Why This Topic Matters
Urinary tract infections are common obstetric complications, and coding them correctly during a delivery episode affects diagnosis reporting and the completeness of the maternal record. The article helps coders interpret how the infection relates to the pregnancy and what other delivery-related elements may be relevant to the encounter.
What You Will Learn
- How a urinary tract infection during a delivery hospitalization is handled in obstetric coding
- What related obstetric coding elements may accompany a delivery episode
- How to think about pregnancy timing and delivery context in the record
- What general information is considered when assigning codes for this type of encounter
Who Should Read This
- Inpatient coders
- OB/GYN coders
- Professional coders
- Clinical documentation specialists
- Revenue cycle staff
Codes Discussed
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