ICD 10 Coding Alert
Strengthen Your Signs and Symptoms Coding
Question: When is it appropriate to code the signs and symptoms when a patient comes in for a suspected urinary tract infection (UTI)? AAPC Forum Participant Answer: Your urologist may need to order or perform a urinalysis when the patient presents with urinary symptoms that suggest a UTI, but before the patient has a known diagnosis. In those cases, you should code the signs and symptoms your urologist notes as the reason for the test, such as one of the following: If your practitioner has ordered a test for a patient with a history of UTIs, you should code this as Z87.440 (Personal history of urinary (tract) infections). Don’t miss: Most payers won’t cover screening urinalysis or urine culture ordered with a code such as Z11.2 (Encounter for screening for other bacterial diseases).
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