Urinary tract infection ICD-10 codes
Start with the primary code, then move to a more specific related code when the documentation supports it.
N39.0 | Urinary tract infection, site not specified | ICD-10-CM |
N30.00 | Acute cystitis without hematuria | ICD-10-CM |
N30.01 | Acute cystitis with hematuria | ICD-10-CM |
R30.0 | Dysuria | ICD-10-CM |
N10 | Acute pyelonephritis | ICD-10-CM |
B96.20 | Unspecified Escherichia coli as cause of diseases classified elsewhere | ICD-10-CM |
Use N39.0 for UTI when the site is not documented. Use N30.00 or N30.01 for acute cystitis when hematuria status is known. Use R30.0 for dysuria when infection is not established. Add organism codes such as B96.20 when culture documents E. coli and local coding rules require it.
“Two days of dysuria, frequency, and suprapubic discomfort. No flank pain or fever. Urine dip positive nitrites and leukocytes, no visible hematuria. Assessment: acute uncomplicated cystitis; nitrofurantoin prescribed.”
Paste a note or record audio. Notat’s FactsContext™ engine extracts the raw clinical facts first, then suggests codes from that context so you can inspect the evidence before using anything.
Exemples
Note clinique
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Système de codage
Codes extraits
Les preuves restent attachées pour examen.
3
I10ICD-10-CM
Essential (primary) hypertension
Preuve: “Chief Complaint Elevated and fluctuating blood pressure readings.”
E78.5ICD-10-CM
Hyperlipidemia, unspecified
Preuve: “2. Hyperlipidemia. Clinically stable on atorvastatin.”
M19.90ICD-10-CM
Unspecified osteoarthritis, unspecified site
Preuve: “3. Osteoarthritis. Symptoms stable. Continue conservative management with acetaminophen as needed.”
FactsContext extracts clinical facts first: diagnoses, symptoms, negatives, findings, test results, medications, and plan decisions.
The clinician can read and reuse the extracted medical context directly, independent of the generated note.
AI suggestions are not a substitute for clinician judgment, payer rules, local coding policy, or the official code set.
FAQ
Is every UTI N39.0?
No. N39.0 is for UTI when the site is not specified. Documented acute cystitis should usually use N30.00 or N30.01 depending on hematuria.
When do I use R30.0?
Use R30.0 for dysuria when the encounter documents painful urination but does not establish a urinary tract infection.
Can AI catch UTI site and organism details?
Notat extracts symptoms, dipstick or culture results, hematuria, flank pain, fever, and assessment as clinical facts, then shows the evidence behind each suggested code.