Infections of genitourinary tract in pregnancy
In Other maternal disorders predominantly related to pregnancy (O20-O29), chapter 15: Pregnancy, Childbirth and the Puerperium
36 billable codes under O23: 27 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Excludes2: not included here, code separately if applicable
- gonococcal infections complicating pregnancy, childbirth and the puerperium (O98.2)
- infections with a predominantly sexual mode of transmission NOS complicating pregnancy, childbirth and the puerperium (O98.3)
- syphilis complicating pregnancy, childbirth and the puerperium (O98.1)
- tuberculosis of genitourinary system complicating pregnancy, childbirth and the puerperium (O98.0)
- venereal disease NOS complicating pregnancy, childbirth and the puerperium (O98.3)
Also applies, from Other maternal disorders predominantly related to pregnancy (O20-O29)
These notes sit on O20-O29 and apply to every code under it, including O23.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Pre-existing hypertension in pregnancy (page 66)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
All codes under O23
O23 can't be used on a claim. Pick a billable code below; grey headings group them.
- O23.0Infections of kidney in pregnancy
- O23.00Infections of kidney in pregnancy, unspecified trimester
- O23.01Infections of kidney in pregnancy, first trimester
- O23.02Infections of kidney in pregnancy, second trimester
- O23.03Infections of kidney in pregnancy, third trimester
- O23.1Infections of bladder in pregnancy
- O23.10Infections of bladder in pregnancy, unspecified trimester
- O23.11Infections of bladder in pregnancy, first trimester
- O23.12Infections of bladder in pregnancy, second trimester
- O23.13Infections of bladder in pregnancy, third trimester
- O23.2Infections of urethra in pregnancy
- O23.20Infections of urethra in pregnancy, unspecified trimester
- O23.21Infections of urethra in pregnancy, first trimester
- O23.22Infections of urethra in pregnancy, second trimester
- O23.23Infections of urethra in pregnancy, third trimester
- O23.3Infections of other parts of urinary tract in pregnancy
- O23.30Infections of other parts of urinary tract in pregnancy, unspecified trimester
- O23.31Infections of other parts of urinary tract in pregnancy, first trimester
- O23.32Infections of other parts of urinary tract in pregnancy, second trimester
- O23.33Infections of other parts of urinary tract in pregnancy, third trimester
- O23.4Unspecified infection of urinary tract in pregnancy
- O23.40Unspecified infection of urinary tract in pregnancy, unspecified trimester
- O23.41Unspecified infection of urinary tract in pregnancy, first trimester
- O23.42Unspecified infection of urinary tract in pregnancy, second trimester
- O23.43Unspecified infection of urinary tract in pregnancy, third trimester
- O23.5Infections of the genital tract in pregnancy
- O23.51Infection of cervix in pregnancy
- O23.511Infections of cervix in pregnancy, first trimester
- O23.512Infections of cervix in pregnancy, second trimester
- O23.513Infections of cervix in pregnancy, third trimester
- O23.519Infections of cervix in pregnancy, unspecified trimester
- O23.52Salpingo-oophoritis in pregnancy
- O23.521Salpingo-oophoritis in pregnancy, first trimester
- O23.522Salpingo-oophoritis in pregnancy, second trimester
- O23.523Salpingo-oophoritis in pregnancy, third trimester
- O23.529Salpingo-oophoritis in pregnancy, unspecified trimester
- O23.59Infection of other part of genital tract in pregnancy
- O23.591Infection of other part of genital tract in pregnancy, first trimester
- O23.592Infection of other part of genital tract in pregnancy, second trimester
- O23.593Infection of other part of genital tract in pregnancy, third trimester
- O23.599Infection of other part of genital tract in pregnancy, unspecified trimester
- O23.9Unspecified genitourinary tract infection in pregnancy
- O23.90Unspecified genitourinary tract infection in pregnancy, unspecified trimester
- O23.91Unspecified genitourinary tract infection in pregnancy, first trimester
- O23.92Unspecified genitourinary tract infection in pregnancy, second trimester
- O23.93Unspecified genitourinary tract infection in pregnancy, third trimester
O23 MS-DRGs
As the principal diagnosis, all 36 billable codes under O23 group to MS-DRG 817, 818, 819, 831, 832, or 833 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 817 Other Antepartum Diagnoses with O.R. Procedures with MCC
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC
Other codes that refer to O23
Notes on these codes point to O23.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Infections and Pregnancy
During pregnancy, some common infections such as the common cold or a skin infection do not usually cause serious problems. Some infections, such as the flu, can be more severe when you're pregnant. But other infections can be harmful to you, your fetus, or both.
Read more about infections and pregnancy on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
