N39.0

Urinary tract infection, site not specified

Diseases of the genitourinary system Billable
Quick Reference
Confirmed or suspected UTI without specification of upper (pyelonephritis) vs. lower (cystitis) tract

Clinical Information

When to Use This Code

Confirmed or suspected UTI without specification of upper (pyelonephritis) vs. lower (cystitis) tract

Common Clinical Scenarios

  • Dysuria with positive urinalysis
  • Empiric antibiotic for UTI
  • Uncomplicated cystitis
  • Recurrent UTIs

Documentation Requirements

  • Document symptoms: dysuria, frequency, urgency, hematuria
  • Record urinalysis results (leukocyte esterase, nitrites, WBCs)
  • Note if culture obtained and organism identified
  • Specify anatomic location if known (cystitis vs. pyelonephritis)

Coding Guidelines

Inclusion Terms

These terms are included in this code:

UTIUrinary tract infection NOSBladder infectionUrinary infection

Exclusion Terms

Do NOT use this code for:

  • Cystitis (N30.-)
  • Pyelonephritis (N10)
  • Urethritis (N34.-)
  • Catheter-associated UTI (T83.51-)

Coding Notes

Use N30.00 for acute cystitis without hematuria
Use N10 for acute pyelonephritis
Code organism separately if identified (B96.-)

Related ICD-10 Codes

Consider these related codes based on patient presentation:

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Code Details

Code
N39.0
Category
Diseases of the genitourinary system
Billable Status
Billable

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