Understanding pyelonephritis in pregnancy is crucial for optimal patient care. This resource provides information on clinical documentation, medical coding (ICD-10 codes O23.0, N10, N11), and healthcare guidelines for diagnosing and managing acute pyelonephritis during pregnancy. Learn about symptoms, risk factors, treatment options, and the importance of accurate documentation for this serious pregnancy complication. Find details on kidney infection in pregnancy, gestational pyelonephritis, and appropriate medical coding for accurate reimbursement.
Also known as
Infections of kidney in pregnancy
Kidney infections specifically occurring during pregnancy.
Disorders of breast
Breast conditions may influence pregnancy and post-partum infections.
Systemic inflammatory response syndrome (SIRS)
Severe pyelonephritis may lead to SIRS, a serious complication.
Supervision of normal pregnancy
Routine pregnancy care helps detect and manage conditions like pyelonephritis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pyelonephritis confirmed?
Yes
Is it unilateral or bilateral?
No
Is there suspected pyelonephritis?
When to use each related code
| Description |
|---|
| Kidney infection in pregnancy |
| Asymptomatic bacteriuria |
| Acute cystitis |
Coding pyelonephritis without specifying right, left, or bilateral can lead to rejected claims and inaccurate data reporting. Use O23.0XX for unspecified.
Overcoding sepsis with pyelonephritis when clinical indicators are not met can trigger audits. Properly document sepsis criteria.
Failing to code pre-existing hypertension complicating pregnancy alongside pyelonephritis can impact risk adjustment and reimbursement. Code O10.XX-
Patient presents with complaints consistent with pyelonephritis in pregnancy. Symptoms include fever, chills, flank pain, costovertebral angle tenderness, nausea, vomiting, and dysuria. Onset of symptoms began approximately [duration] ago. Patient is currently in her [trimester] trimester at [gestational age] weeks. Vital signs include temperature of [temperature], heart rate of [heart rate], respiratory rate of [respiratory rate], and blood pressure of [blood pressure]. Physical exam reveals [relevant findings, e.g., right flank tenderness, suprapubic tenderness]. Urine dipstick is positive for leukocyte esterase and nitrites. Suspecting acute pyelonephritis, a urine culture and sensitivity has been ordered. Differential diagnoses include cystitis, appendicitis, preterm labor, and other infectious processes. Given the patient's pregnancy and the severity of symptoms, inpatient admission is recommended for intravenous antibiotic therapy with [antibiotic name] as per obstetric and infectious disease consultation. Treatment plan includes monitoring of maternal and fetal well-being, serial urine cultures, and complete blood count monitoring. Patient education provided on pyelonephritis during pregnancy, including potential complications such as preterm labor, sepsis, and acute kidney injury. Discharge planning will include a course of oral antibiotics and close follow-up with obstetrics and primary care. Coding considerations include acute pyelonephritis in pregnancy, urinary tract infection in pregnancy, and sepsis in pregnancy.