UTI is URINARY TRACT INFECTION (UTI),

 ICD 9 - 599.0 Urinary tract infection, site not specified


More specific ICD-10 choices include:

ICD 10 CODE

O23.3 Infections of other parts of urinary tract in pregnancy
O23.4 Unspecified infection of urinary tract in pregnancy
O86.2 Urinary tract infection following delivery
R30.0 - Dysuria
R30.9 - Painful micturition, unspecified
N39.0 - Urinary tract infection, site not specified
N30.00 - Acute cystitis w/o hematuria
N30.01 - Acute cystitis with hematuria
N30.10 - Interstitial cystitis (chronic) without hematuria
N30.11 - Interstitial cystitis (chronic) with hematuria
N31.40 - Irradiation cystitis without hematuria
N31.41 - Irradiation cystitis with hematuria
N15.9 - Renal tubule-interstitial disease,unspecified


Site: Bladder Urethra or ureter Kidney

Type:

Pyelonephritis (obstructive, reflux uropathy, drug or heavy metal induced) Cystitis (obstructive, interstitial, trigonitis, irradiation, etc.)

Acuity:

Acute, chronic or acute on chronic


Causal organism:
 E. Coli, Enterococcus Klebsiella pneumoniae Pseudomonas, Candida Gonococcal, Chlamydial MRSA, MSSA, other, etc.

Complication (due to):

Indwelling Foley catheter Cystostomy or nephrostomy tube Suprapubic catheter  Urethral stents or other devices Postoperative / postprocedural, etc.

Associated conditions:

Hydronephrosis (due to ureteral stricture, calculus obstruction, reflux nephropathy, hydroureter, etc.) Urethritis Hematuria



Coding UTI to Sepsis in ICD-9-CM and ICD-10-CM 


Multiple factors contribute to urinary tract infections (UTIs); common causes are aging and medications, especially in combination.

Aging is associated with changes in kidney structure and muscle strength. The kidneys lose their ability to filter waste from the blood. Muscles in the ureters, bladder, and urethra weaken. These changes lead to increased urinary retention within the bladder, creating the environment for bacterial overgrowth and infection.

Many medications cause urinary retention. When combined with the normal decline in filtering efficiency  associated with aging, the geriatric population is at increased risk for UTIs.

Other factors that affect the function of the urinary tract and increase the risk of outflow problems and infections include congenital abnormalities, illness, and injury.

Women are more prone to UTIs than adult men. Infections can occur anywhere along the urinary tract, and they may be localized or disseminated.

Diagnosing and Treating UTIs

Diagnosing UTIs is done through a combination of clinical history, examination, and laboratory tests. Infants and the elderly may present with no symptoms at all. Other patients might complain of fever, chills, anorexia, nausea, vomiting, diarrhea, pain in the abdomen or back, dysuria, hematuria, incontinence, decreased urine output or the inability to urinate, and/or altered mental status/confusion. Physical examination findings can include pain anywhere in the abdomen, pelvis, or lower back.

Laboratory evaluation starts with the urinalysis. The test looks at the specific gravity, pH, presence of leukocytes, nitrates, blood, glucose, and protein. In addition, microscopic studies will quantify the presence of white and red blood cells, bacteria, or other organisms such as yeast and trichomonads.

Urine can be plated and followed for bacterial growth and bacterial sensitivities (culture and sensitivity test). An ultrasound or fluoroscopy of the urinary tract is used to measure dynamic outflow and tract function. Diagnostic xrays, CT scans, and MRIs are used for a static analysis of anatomy and potential obstruction. Cystograms involve the use of a small camera inside a tube inserted through the urethra for a real-time visual inspection of the bladder.

UTIs can be treated effectively with antibacterial medications. However, UTIs can lead to sepsis especially in elderly patients or patients with compromised immune systems. Patients diagnosed with sepsis require immediate medical attention and are typically treated with intravenous fluids and antibiotics.

The extent and severity of the infection is based on the diagnostic criteria mentioned above. Common UTIs include:

Urethritis: an infection within the urethra commonly associated with sexually transmitted diseases.
Cystitis: an infection localized to the bladder. The most common pathogen is E. coli bacteria.
Pyelonephritis: the progression of the infection from the bladder to one or both kidneys.
Urosepsis: a nonspecific term indicating an infection anywhere within the urinary tract. In ICD-9-CM, based on the default for this term in the alphabetic index, urosepsis is assigned code 599.0, Urinary tract infection, site not specified. In ICD-10-CM, this term has no default code in the alphabetic index and will require a
physician query for clarification and specification.

ICD-9-CM ICD-10-CM 


595.9, Cystitis, unspecified        N30.90, Cystitis, unspecified without hematuria



ICD 9 CODE 598.9 Urethral stricture, unspeci ed can be replaced by

N35.8 Other urethral stricture, unspeci ed
N35.12 Postinfective urethral stricture, not elsewhere classi ed, female
N35.119 Postinfective urethral stricture, not elsewhere classi ed, male, unspeci ed
N35.114 Postinfective anterior urethral stricture, not elsewhere classi ed
N35.113 Postinfective membranous urethral stricture, not elsewhere classi ed
N35.112 Postinfective bulbous urethral stricture, not elsewhere classi ed
N35.111 Postinfective urethral stricture, not elsewhere classi ed, male, meatal
N35.028 Other post-traumatic urethral stricture, female
N35.021 Urethral stricture due to childbirth
N35.014 Post-traumatic urethral stricture, male, unspeci ed
N35.013 Post-traumatic anterior urethral stricture
N35.012 Post-traumatic membranous urethral stricture
N35.011 Post-traumatic bulbous urethral stricture
N35.010 Post-traumatic urethral stricture, male, meatal
N35.9 Urethral stricture, unspeci ed





Icd 9 code for back pain

724.5 is to be used for Back Pain
724.5 - Backache, unspecified Vertebrogenic (pain) syndrome NOS  Toggle Dictionary Definitions
724 Excludes: collapsed vertebra (code to cause, e.g., osteoporosis, 733.00-733.09), conditions due to: intervertebral disc disorders (722.0-722.9), spondylosis (721.0-721.9)
720-724 Excludes: curvature of spine (737.0-737.9), osteochondrosis of spine (juvenile) (732.0), adult (732.8)
710-739  Use additional external cause code, if applicable, to identify the cause of the musculoskeletal condition
724 Other and unspecified disorders of back
724.00 - 724.09     724.0 Spinal stenosis, other than cervical
724.1     Pain in thoracic spine
724.2     Lumbago
724.3     Sciatica Excludes
724.4     Lumbosacral neuritis NOS Non-specific
724.5     Backache NOS Non-specific
724.6     Disorders of sacrum
724.70 - 724.79     724.7 Disorders of coccyx
724.8     Other back symptoms
724.9     Back disorder NOS


ICD 10 CODE

M54.5 - Low back pain


ICD 9 CODE AND ICD 10  CODE

Contusion 922.31     Contusion of lower back and pelvis, initial encounter S30.0XXA

Pain lower back 724.2    Low back pain M54.5