2025 ICD-10-CM code O23
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Other maternal disorders predominantly related to pregnancy Chapter 15: Pregnancy, Childbirth and the Puerperium Feed
Infections of the genitourinary tract during pregnancy.Additional codes should be used to specify the organism.
Modifiers may be applicable depending on the specific circumstances of the visit and services provided.Consult the appropriate payer guidelines.
Medical necessity is established by the presence of symptoms and signs consistent with a genitourinary tract infection, confirmed by laboratory findings.Treatment is necessary to prevent complications such as preterm labor, premature rupture of membranes, and sepsis.
Obstetrician-gynecologist or other qualified healthcare professional managing the pregnancy.
- Chapter 15: Pregnancy, Childbirth and the Puerperium
- O20-O29 (Other maternal disorders predominantly related to pregnancy)
In simple words: This code is for pregnant women who have an infection in their urinary or genital tract.The doctor will use additional codes to describe the type of infection.
This code classifies infections of the genitourinary tract that occur during pregnancy.It is crucial to note that this code is solely for maternal records and should never be used for newborn records.The infection must be related to or aggravated by the pregnancy.Additional codes from categories B95.- and B96.- should be used to identify the specific organism causing the infection.This code excludes certain infections, such as gonococcal infections, syphilis, tuberculosis of the genitourinary system, and other venereal diseases, which have their own specific ICD-10-CM codes within the obstetric complications classification.
Example 1: A 32-year-old woman at 28 weeks gestation presents with symptoms of a urinary tract infection (UTI), including dysuria, frequency, and urgency.Urine culture reveals Escherichia coli.Codes O23 and B96.20 are assigned., A 25-year-old woman at 16 weeks gestation presents with vaginal discharge and vulvar irritation.Microscopy and culture reveal Candida albicans.Codes O23 and B37.0 are assigned., A 35-year-old woman at 36 weeks gestation is admitted with pyelonephritis.Blood and urine cultures identify Klebsiella pneumoniae.Codes O23 and B96.21 are assigned. The patient also receives intravenous antibiotics and inpatient care. Further codes would be assigned to reflect this.
Complete history and physical examination, urinalysis, urine culture with identification of organism, any other relevant lab results (e.g., blood cultures), treatment notes, and response to treatment.
** Always confirm the organism identified to ensure accurate coding.Proper documentation is crucial for accurate coding and reimbursement. Consult current coding manuals and payer guidelines for the most up-to-date information.
- Revenue Code: This information is not available in the provided sources. Revenue codes are dependent on the payer and the specific services rendered.
- RVU: This information is not available in the provided sources.RVUs are determined by the payer and are subject to change.
- Global Days : Not applicable. This code is for diagnosis, not a procedure.
- Payment Status: Active (as of 03 December 2024)
- Modifier TC rule: Not applicable. This is a diagnostic code.
- Fee Schedule : This information is not available in the provided sources.Fee schedules vary by payer and are subject to change.
- Specialties:Obstetrics and Gynecology, Family Medicine, Urology, Infectious Disease
- Place of Service:Office, Hospital (inpatient or outpatient), Urgent Care Facility, other relevant settings.