B34.9 - Viral infection, unspecified

Clinical Definition

A urinary tract infection (UTI) that affects the bladder, causing inflammation and irritation of the bladder wall. Characterized by dysuria, frequency, urgency, and suprapubic pain.

Documentation Requirements

• Anatomical Location: Must specify "bladder" or "lower urinary tract"

• Acuity: Document if acute or chronic

• Causative Organism: If known, specify the infectious agent (e.g., E. coli)

• Associated Symptoms: Document presence/absence of:

  • Hematuria

  • Suprapubic pain

  • Urinary frequency/urgency

• Risk Factors: Document any contributing factors:

  • Catheterization

  • Immunocompromised status

  • Structural abnormalities

• Treatment Plan: Include antibiotics prescribed and duration

Common Synonyms

• Bladder infection

• Lower UTI

• Simple cystitis

• Water infection

• Urine infection

Coding Conflicts

• Excludes1:

  • Cystitis due to irradiation (N30.4)

  • Trigonitis (N30.3)

• Excludes2:

  • Urethritis (N34.-)

  • UTI in pregnancy (O23.-)

Scribing.io Automation

Our AI scribe automatically identifies and captures:

• Keywords indicating bladder location ("suprapubic," "bladder")

• Symptoms ("dysuria," "frequency," "urgency")

• Urine culture results and organism names

• Risk factors mentioned during patient history

• Treatment specifics including antibiotic choices
  The system prompts for missing elements needed for complete documentation.