Hi! I have a question regarding what you all do at other facilities.
Q: When you have a patient that has a diagnosis of pyelonephritis and the provider has only documented pyelonephritis, do you all query for the acuity/type of pyelonephritis or use the code for other/unspecified pyelonephritis that is coded out to be tubulointerstitial nephritis?

Just wondering.



  • As the solo Peds CDI where I work and with challenges with physician engagement (I have to pick my "query battles" so to speak), at this point I use the N12 ICD 10 code if it isn't further specified by the physician. I do however do education with the providers that acuity is important and should be documented, along with the suspected/known etiology of a condition and causative organism.
  • Yes we the tubulointerstitial nephritis will give you a higher SOI typically on the DRG. SO to ensure reimbursement accuracy I would query to clarify. I would also provide a tipsheet/email to providers explaining the purpose behind the query.



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