Understanding Urine Leukocytes: Learn about the causes, symptoms, and diagnosis of leukocytes in urine. This resource covers clinical significance, medical coding for urinalysis with WBCs, and proper documentation for healthcare professionals. Explore information on pyuria, urinary tract infection (UTI), and other related conditions. Find guidance on interpreting urine leukocyte esterase results and the role of microscopy in confirming the presence of white blood cells in urine.
Also known as
Leukocyturia
Presence of white blood cells in the urine.
Urinary tract infection, site not specified
Infection of the urinary system without specific location.
Cystitis
Inflammation of the urinary bladder.
Urinary tract disorder, unspecified
General urinary problem without further details.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there a documented UTI or other urinary infection?
Yes
Is the organism specified?
No
Is there another documented cause for leukocyturia?
When to use each related code
Description |
---|
Urine leukocytes present |
Urinary tract infection (UTI) |
Asymptomatic bacteriuria |
Patient presents with complaints suggestive of urinary tract infection (UTI), including dysuria, urinary frequency, and urgency. Urinalysis reveals the presence of urine leukocytes, indicating pyuria. Leukocyte esterase is positive. Nitrites may be positive or negative. Patient denies fever, chills, or flank pain, suggesting a lower UTI such as cystitis or urethritis. Differential diagnosis includes bladder infection, urethral infection, and sexually transmitted infections. Microscopic examination of urine shows elevated white blood cell count. Based on the clinical presentation and urinalysis findings, the diagnosis of urine leukocytes consistent with urinary tract infection is made. Treatment plan includes antibiotic therapy with appropriate medication based on suspected pathogen and patient allergies. Patient education provided on proper hydration, hygiene, and medication adherence. Follow-up urinalysis recommended to assess treatment efficacy. ICD-10 code N39.0, Urinary tract infection, site not specified, may be considered, with further specification based on confirmed site of infection. CPT codes for urinalysis (81000, 81002) and office visit (99212-99215) will be applied based on complexity of visit. Medical necessity for antibiotic prescription and further testing will be documented.