Neonatal urinary tract infection

This code identifies an infection of the urinary tract occurring in a newborn. This condition involves the presence of pathogenic microorganisms within the urinary system, such as the bladder, kidneys, or urethra, manifesting during the neonatal period (birth to 28 days of life).

Assign this code when documentation explicitly states a diagnosis of urinary tract infection in a neonate. Supporting documentation typically includes positive urine culture results, clinical signs and symptoms consistent with UTI in an infant (e.g., fever, poor feeding, lethargy), and physician's diagnostic statement.

• Always confirm the patient's age falls within the neonatal period (0-28 days) for appropriate code assignment.
• Do not confuse with adult or pediatric UTIs, which are coded differently.
• Look for documentation of the specific organism if known, as an additional code from B95-B97 may be warranted.