Micturition
Micturition is the medical term for urination, or the act of passing urine. It is the process of emptying the bladder, which is the storage organ for urine. The purpose of urination is to eliminate waste products from the body.
Micturition is triggered by stretch receptors in the bladder wall. The receptors trigger a reflex pathway that passes through a center in the brainstem. The pathway is initiated by myelinated afferents (Aδ-fibers).
In healthy humans and other animals, urination is under voluntary control. However, in infants, some elderly individuals, and those with neurological injury, urination may occur as a reflex.
Normal micturition occurs when bladder contraction is coordinated with urethral sphincter relaxation.
Painful micturition is one of the most common symptoms of urological diseases. The term "dysuria" is descriptive for micturition which the patient perceives as unpleasant.
The ICD-10-CM diagnosis code for other difficulties with micturition is R39.198
R39 Other and unspecified symptoms and signs involving the genitourinary system
Dysuria
Dysuria is a common urinary symptom that causes pain or discomfort while urinating. It can feel like burning, stinging, or itching in the urethra or perineum. Most people experience dysuria at least once in their lifetime.
Dysuria can have many causes, including:
Treatment depends on the cause. For example, a course of antibiotics can clear up dysuria caused by a bacterial infection. Antifungal medication can clear up dysuria caused by a yeast infection.
R30.0 Dysuria
R30.1 Vesical tenesmus
R30.9 Painful micturition, unspecified
R31 Hematuria
R31.0 Gross hematuria
R31.1 Benign essential microscopic hematuria
R31.2 Other microscopic hematuria
R31.21 Asymptomatic microscopic hematuria
R31.29 Other microscopic hematuria
R31.9 Hematuria, unspecified
R32 Unspecified urinary incontinence
Benign prostatic hyperplasia (BPH)
A non-cancerous increase in size of the prostate gland. Also called prostate gland enlargement, the condition can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder, frequent or urgent need to urinate, inability to completely empty the bladder and increased frequency of urination at night (nocturia). Aging, family history of prostrate problems, diabetes, heart disease and other lifestyle habits can increase the risk of this condition. Treatment for prostate gland enlargement may begin with medications such as alpha-blockers and minimally invasive therapies. However, severe cases can be effectively treated with surgery.
The ICD-10-CM diagnosis code for benign prostatic hyperplasia without lower urinary tract symptoms is N40.0. This code is listed by the WHO under the range of diseases of the genitourinary system.
The ICD-10-CM diagnosis code for benign prostatic hyperplasia is N40. This code should not be used for reimbursement purposes because there are more detailed codes below it.
BPH is a condition in men where the prostate gland is enlarged but not cancerous. It is also called benign prostatic hypertrophy or benign prostatic obstruction
N40 Benign prostatic hyperplasia
N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms
N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms
N40.2 Nodular prostate without lower urinary tract symptoms
N40.3 Nodular prostate with lower urinary tract symptoms
Urinary incontinence
Urinary incontinence is the involuntary leakage of urine. It means control over the urinary sphincter is either lost or weakened.
The ICD-10-CM diagnosis code for functional urinary incontinence is R39.81. This code can be used for reimbursement purposes.
The ICD-10 code for other specified urinary incontinence is N39.498.
The ICD-10 code for unspecified urinary incontinence is R32. This code is used for urinary incontinence that is not due to a medical condition and occurs at or beyond the age of 5 years. This code is also used for urinary incontinence due to cognitive impairment, severe physical disability, or immobility.
Other codes used for billing for urinary incontinence include T4521-T4545
N39.3 Stress incontinence (female) (male)
N39.4 Other specified urinary incontinence
N39.41 Urge incontinence
N39.42 Incontinence without sensory awareness
N39.43 Post-void dribbling
N39.44 Nocturnal enuresis
N39.45 Continuous leakage
N39.46 Mixed incontinence
N39.49 Other specified urinary incontinence
N39.490 Overflow incontinence
N39.491 Coital incontinence
N39.492 Postural (urinary) incontinence
N39.498 Other specified urinary incontinence
N39.8 Other specified disorders of urinary system
N39.9 Disorder of urinary system, unspecified
Urinary Tract Infections (UTIs)
A urinary tract infection (UTI) is an infection from microbes. Regarded as one of the most common types of bacterial infections, UTIs are the result of pathogenic bacteria or viruses that invade the urinary tract and cause infection.
The ICD-10-CM code for a urinary tract infection (UTI) is N39.0. This code is billable and can be used for reimbursement purposes.
Z87.440 Personal history of urinary (tract) infections
Kidney Stones
Kidney stones are the calcifications (body’s excess minerals and salts) that form inside your kidneys. As these substances begin to accumulate in the kidneys, they harden and form a crystal. As multiple crystals accumulate and join together in a more compact form, they end up with a pebble-like formation called a kidney stone
The ICD-10-CM code for kidney stones is N20.0.
The ICD-10-CM codes
Kidney and ureter stones is N20.1.
Hydronephrosis with renal and ureteral calculous obstruction is N13.2.
N20 Calculus of kidney and ureter
N20.0 Calculus of kidney
N20.1 Calculus of ureter
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified
N21 Calculus of lower urinary tract
N21.0 Calculus in bladder
N21.1 Calculus in urethra
N21.8 Other lower urinary tract calculus
N21.9 Calculus of lower urinary tract, unspecified
N22 Calculus of urinary tract in diseases classified elsewhere
Ureteral obstruction
Ureteral obstructions are common blockages that occur in one or both of your ureters. The ureters are two tubes that carry urine from each of your kidneys to your bladder.
Ureteral obstruction is a blockage in the tubes that carry urine from the kidneys to the bladder.
The ICD-10-CM diagnosis code for hydronephrosis with renal and ureteral calculous obstruction is N13.2.
The ICD-10-CM diagnosis code for crossing vessel and stricture of ureter without hydronephrosis is N13.5.
Ureteral obstruction can be cured. However, if left untreated, symptoms can quickly move from mild to severe. Mild symptoms include pain, fever, and infection. Severe symptoms include loss of kidney function, sepsis, and death.
N13 Obstructive and reflux uropathy
N13.0 Hydronephrosis with ureteropelvic junction obstruction
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
Prostate cancer (PC)
Second most common non-skin cancer.
Affects the prostate gland (a small walnut-shaped gland) that produces seminal fluid that nourishes sperm.
The ICD-10 codes
Prostate cancer is C61.
Personal history of prostate cancer is Z85.46.
Special screening examination for prostate cancer is Z12.5
Micturition is the medical term for urination, or the act of passing urine. It is the process of emptying the bladder, which is the storage organ for urine. The purpose of urination is to eliminate waste products from the body.
Micturition is triggered by stretch receptors in the bladder wall. The receptors trigger a reflex pathway that passes through a center in the brainstem. The pathway is initiated by myelinated afferents (Aδ-fibers).
In healthy humans and other animals, urination is under voluntary control. However, in infants, some elderly individuals, and those with neurological injury, urination may occur as a reflex.
Normal micturition occurs when bladder contraction is coordinated with urethral sphincter relaxation.
Painful micturition is one of the most common symptoms of urological diseases. The term "dysuria" is descriptive for micturition which the patient perceives as unpleasant.
The ICD-10-CM diagnosis code for other difficulties with micturition is R39.198
R39 Other and unspecified symptoms and signs involving the genitourinary system
- R39.0 Extravasation of urine
- R39.1 Other difficulties with micturition
Dysuria
Dysuria is a common urinary symptom that causes pain or discomfort while urinating. It can feel like burning, stinging, or itching in the urethra or perineum. Most people experience dysuria at least once in their lifetime.
Dysuria can have many causes, including:
- Urinary tract infections (UTIs)
- Bacterial infections
- Yeast infection
Treatment depends on the cause. For example, a course of antibiotics can clear up dysuria caused by a bacterial infection. Antifungal medication can clear up dysuria caused by a yeast infection.
R30.0 Dysuria
R30.1 Vesical tenesmus
R30.9 Painful micturition, unspecified
R31 Hematuria
R31.0 Gross hematuria
R31.1 Benign essential microscopic hematuria
R31.2 Other microscopic hematuria
R31.21 Asymptomatic microscopic hematuria
R31.29 Other microscopic hematuria
R31.9 Hematuria, unspecified
R32 Unspecified urinary incontinence
Benign prostatic hyperplasia (BPH)
A non-cancerous increase in size of the prostate gland. Also called prostate gland enlargement, the condition can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder, frequent or urgent need to urinate, inability to completely empty the bladder and increased frequency of urination at night (nocturia). Aging, family history of prostrate problems, diabetes, heart disease and other lifestyle habits can increase the risk of this condition. Treatment for prostate gland enlargement may begin with medications such as alpha-blockers and minimally invasive therapies. However, severe cases can be effectively treated with surgery.
The ICD-10-CM diagnosis code for benign prostatic hyperplasia without lower urinary tract symptoms is N40.0. This code is listed by the WHO under the range of diseases of the genitourinary system.
The ICD-10-CM diagnosis code for benign prostatic hyperplasia is N40. This code should not be used for reimbursement purposes because there are more detailed codes below it.
BPH is a condition in men where the prostate gland is enlarged but not cancerous. It is also called benign prostatic hypertrophy or benign prostatic obstruction
N40 Benign prostatic hyperplasia
N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms
N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms
N40.2 Nodular prostate without lower urinary tract symptoms
N40.3 Nodular prostate with lower urinary tract symptoms
Urinary incontinence
Urinary incontinence is the involuntary leakage of urine. It means control over the urinary sphincter is either lost or weakened.
The ICD-10-CM diagnosis code for functional urinary incontinence is R39.81. This code can be used for reimbursement purposes.
The ICD-10 code for other specified urinary incontinence is N39.498.
The ICD-10 code for unspecified urinary incontinence is R32. This code is used for urinary incontinence that is not due to a medical condition and occurs at or beyond the age of 5 years. This code is also used for urinary incontinence due to cognitive impairment, severe physical disability, or immobility.
Other codes used for billing for urinary incontinence include T4521-T4545
N39.3 Stress incontinence (female) (male)
N39.4 Other specified urinary incontinence
N39.41 Urge incontinence
N39.42 Incontinence without sensory awareness
N39.43 Post-void dribbling
N39.44 Nocturnal enuresis
N39.45 Continuous leakage
N39.46 Mixed incontinence
N39.49 Other specified urinary incontinence
N39.490 Overflow incontinence
N39.491 Coital incontinence
N39.492 Postural (urinary) incontinence
N39.498 Other specified urinary incontinence
N39.8 Other specified disorders of urinary system
N39.9 Disorder of urinary system, unspecified
Urinary Tract Infections (UTIs)
A urinary tract infection (UTI) is an infection from microbes. Regarded as one of the most common types of bacterial infections, UTIs are the result of pathogenic bacteria or viruses that invade the urinary tract and cause infection.
The ICD-10-CM code for a urinary tract infection (UTI) is N39.0. This code is billable and can be used for reimbursement purposes.
- N39.9 for unspecified disorders of the urinary system
Z87.440 Personal history of urinary (tract) infections
Kidney Stones
Kidney stones are the calcifications (body’s excess minerals and salts) that form inside your kidneys. As these substances begin to accumulate in the kidneys, they harden and form a crystal. As multiple crystals accumulate and join together in a more compact form, they end up with a pebble-like formation called a kidney stone
The ICD-10-CM code for kidney stones is N20.0.
The ICD-10-CM codes
Kidney and ureter stones is N20.1.
Hydronephrosis with renal and ureteral calculous obstruction is N13.2.
N20 Calculus of kidney and ureter
N20.0 Calculus of kidney
N20.1 Calculus of ureter
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified
N21 Calculus of lower urinary tract
N21.0 Calculus in bladder
N21.1 Calculus in urethra
N21.8 Other lower urinary tract calculus
N21.9 Calculus of lower urinary tract, unspecified
N22 Calculus of urinary tract in diseases classified elsewhere
Ureteral obstruction
Ureteral obstructions are common blockages that occur in one or both of your ureters. The ureters are two tubes that carry urine from each of your kidneys to your bladder.
Ureteral obstruction is a blockage in the tubes that carry urine from the kidneys to the bladder.
The ICD-10-CM diagnosis code for hydronephrosis with renal and ureteral calculous obstruction is N13.2.
The ICD-10-CM diagnosis code for crossing vessel and stricture of ureter without hydronephrosis is N13.5.
Ureteral obstruction can be cured. However, if left untreated, symptoms can quickly move from mild to severe. Mild symptoms include pain, fever, and infection. Severe symptoms include loss of kidney function, sepsis, and death.
N13 Obstructive and reflux uropathy
N13.0 Hydronephrosis with ureteropelvic junction obstruction
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
Prostate cancer (PC)
Second most common non-skin cancer.
Affects the prostate gland (a small walnut-shaped gland) that produces seminal fluid that nourishes sperm.
The ICD-10 codes
Prostate cancer is C61.
Personal history of prostate cancer is Z85.46.
Special screening examination for prostate cancer is Z12.5