ICD-10 Code N39.0

N39.0 is the ICD-10-CM code used to identify and classify urinary tract infections (UTIs), a common condition affecting the urinary system. This code is utilized by healthcare providers to document and bill for services related to the diagnosis and treatment of UTIs.

The ICD-10-CM code N39.0 specifically refers to urinary tract infections, site not specified. UTIs are infections that can affect any part of the urinary system, including the kidneys, ureters, bladder, and urethra. The term "site not specified" indicates that the exact location of the infection within the urinary tract is not detailed in the diagnosis.

Common symptoms of UTIs associated with N39.0 include:

Related and similar ICD-10 codes to N39.0 include:

When using N39.0 for billing, it is important to ensure the diagnosis is well-documented in the patient's medical record. The code should be used when the urinary tract infection is confirmed, and the specific site of the infection is not identified. This code is appropriate for billing services such as office visits, laboratory tests, and treatments related to UTIs.

Best practices for coding with N39.0 include:

There is an excludes 1 note found at Category N39, Other disorders of the urinary system for the following conditions:

Urinary tract infection of specified site, such as:

Due to this instructional note, when the urinary tract infection is more specifically one of the listed conditions, only the condition noted in the excludes 1 note should be assigned and N39.0 would be omitted.

There is an excludes 1 note found at category N39, Other disorders of the urinary system for pyuria (R82.81). This instructional note indicates that R82.81 pyuria should not be assigned as an additional code if the patient has more specifically been diagnosed with a UTI. This note also indicates that codes within this category should not be assigned if the documented diagnosis is pyuria alone without indication of a confirmed urinary tract infection. In that case, assignment of N39.0 would not be appropriate.

Use additional code (B95–B97) to identify infectious agent instructional note found category N39, Other disorders of the urinary system. This note indicates that if the organism causing the UTI has been specified an additional code to identify the organism should be assigned.

Common pitfalls to avoid when coding with N39.0 include:

ICD-10 code N39.0 is used to document and bill for urinary tract infections when the site of the infection is not specified. Accurate coding and thorough documentation ensure appropriate billing and reimbursement. By following best practices and guidelines, healthcare providers can effectively manage and code for UTIs, contributing to better patient outcomes and streamlined healthcare operations.

Tebra’s EHR+ gives you quick searches and Systematized Nomenclature of Medicine (SNOMED) field names for efficient code documentation. Plus, Tebra automatically saves ICD-10 to SNOMED mapping for future searches, streamlining your workflow.

Discover how Tebra helps providers effortlessly document health-related issues and conditions in this detailed post.