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N39.0
ICD-10-CM
Pseudomonas Urinary Tract Infection

Find information on Pseudomonas urinary tract infection diagnosis, including clinical documentation, medical coding (ICD-10-CM N39.0), and healthcare guidelines. Learn about Pseudomonas aeruginosa UTI symptoms, treatment, and laboratory testing for accurate diagnosis and optimal patient care. Explore resources for healthcare professionals on managing and documenting Pseudomonas UTIs in clinical settings.

Also known as

Pseudomonas UTI
Urinary tract infection due to Pseudomonas

Diagnosis Snapshot

Key Facts
  • Definition : Urinary tract infection caused by Pseudomonas aeruginosa bacteria.
  • Clinical Signs : Frequent urination, burning sensation, cloudy or bloody urine, fever, flank pain.
  • Common Settings : Hospital-acquired infections, catheter use, compromised immune systems.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N39.0 Coding
N39.0

Urinary tract infection, site not specified

Infection of the urinary tract, location unspecified, can include Pseudomonas.

B96.5

Pseudomonas (aeruginosa) (mallei) (pseudomallei)

Identifies Pseudomonas as the causative agent of the infection.

N30-N39

Other diseases of the urinary system

Encompasses various urinary system disorders, including infections.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the UTI uncomplicated?

  • Yes

    Site specified?

  • No

    Pyelonephritis present?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Pseudomonas UTI
Escherichia coli UTI
Klebsiella UTI

Documentation Best Practices

Documentation Checklist
  • Pseudomonas UTI diagnosis: confirmed by urine culture
  • Document organism sensitivity for antibiotic guide
  • Symptoms: dysuria, frequency, urgency, fever, flank pain
  • Risk factors: catheter, instrumentation, recent antibiotics
  • Consider comorbidities impacting UTI management plan

Coding and Audit Risks

Common Risks
  • Unspecified Pseudomonas UTI

    Coding Pseudomonas UTI without laterality or specific site (e.g., kidney, bladder) may lead to claim denials and inaccurate data. CDI should query for specificity.

  • Sepsis vs. UTI Coding

    Incorrectly coding urosepsis as uncomplicated UTI can underestimate severity. CDI must differentiate localized UTI from systemic infection for accurate coding and reimbursement.

  • Coding Resistant Strains

    Failing to capture antibiotic resistance (e.g., MDR, XDR) in Pseudomonas UTI impacts infection control, quality metrics, and appropriate reimbursement. CDI and lab communication are crucial.

Mitigation Tips

Best Practices
  • Document Pseudomonas UTI risk factors: catheters, antibiotics.
  • Urine Cx specifying Pseudomonas aeruginosa crucial for ICD-10-CM N39.0
  • CDI: Query for antibiotic allergy details, impact on treatment.
  • Ensure appropriate CPT codes for urine culture, sensitivity testing.
  • Follow institutional guidelines for UTI management, antibiotic stewardship.

Clinical Decision Support

Checklist
  • Verify urine culture: Pseudomonas aeruginosa isolated
  • Check patient risk factors: Catheter, hospitalization, antibiotics
  • Review signs/symptoms: Dysuria, fever, pyuria, flank pain
  • Assess urinalysis: Positive leukocyte esterase, nitrites
  • Consider imaging if complicated: Ultrasound, CT scan

Reimbursement and Quality Metrics

Impact Summary
  • Pseudomonas Urinary Tract Infection Reimbursement: Impacts coding accuracy for MS-DRG assignment (e.g., MS-DRG 324, 788), affecting hospital reimbursement.
  • Coding Pseudomonas UTI: Specific ICD-10-CM codes (e.g., N81.0, N39.0) crucial for accurate billing and quality reporting.
  • Quality Metrics Impact: Pseudomonas UTI influences hospital-acquired infection reporting, impacting quality performance scores and potential penalties.
  • Sepsis & Pseudomonas UTI: Secondary sepsis (e.g., A41.5) complicates coding, significantly impacting reimbursement and severity measures.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Pseudomonas UTI with N39.0
  • Specify site, e.g., cystitis
  • Document antibiotic sensitivity
  • Consider comorbidities like diabetes
  • Query physician if unclear

Documentation Templates

Patient presents with symptoms suggestive of a Pseudomonas aeruginosa urinary tract infection (UTI), including dysuria, urinary frequency, urgency, and suprapubic pain.  The patient reports no fever, chills, or flank pain, indicating a possible uncomplicated UTI.  Urinalysis reveals pyuria, bacteriuria, and positive leukocyte esterase.  Urine culture confirms the presence of Pseudomonas aeruginosa.  Differential diagnosis includes other bacterial UTIs, such as Escherichia coli UTI, Klebsiella pneumoniae UTI, and Enterococcus UTI.  Considering the patient's clinical presentation and laboratory findings, the diagnosis of Pseudomonas aeruginosa urinary tract infection is established.  Treatment plan includes antibiotic therapy with ciprofloxacin, levofloxacin, or an appropriate antipseudomonal agent based on susceptibility testing.  Patient education provided on medication adherence, hydration, and follow-up urine culture.  ICD-10 code N39.0, Urinary tract infection, site not specified, is assigned.  CPT codes for urinalysis, urine culture, and office visit are documented based on the specific services rendered.  Monitoring for treatment response and potential complications, such as pyelonephritis or urosepsis, will be conducted.  Patient instructed to return for follow-up evaluation and repeat urine culture to assess treatment efficacy.