tci Outpatient Facility Coding Alert - 2016 Issue 5

ICD-10: Details Help You Specify the Right Diagnosis for Urine Infection

Take note: Clinical complications can make all the difference. Your diagnosis code choices for urine retention under ICD-10 are not much different from what you were accustomed to in ICD-9. You do have expanded options that allow you to code with more specification, however, so it’s time to focus on your provider’s documentation. Old system: When you still assigned diagnoses based on ICD-9, you had three options: 788.20 – Retention of urine, unspecified 788.21 – Incomplete bladder emptying 788.29 – Other specified retention of urine. The “other” code 788.29...

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