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Home/Diagnosis/ICD-10 Coding for Bladder Retention

ICD-10 Coding for Bladder Retention

R33.0
R33.8
R33.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bladder retention includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Urinary Retention
Inability to Urinate
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Key Information: ICD-10 Coding for Bladder Retention

Essential facts and insights about ICD-10 Coding for Bladder Retention

Use ICD-10 code R33.0 for drug-induced urinary retention, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Drug-induced urinary retention

Billable Code
R33.0
Billable

Diagnostic Criteria

  • • Temporal relationship between drug initiation and retention
  • • Naranjo adverse drug reaction probability score ≥4

Applicable To

  • • Urinary retention due to medication

Important Notes

  • • Ensure to document the specific drug and its relation to the retention.

Other retention of urine

Billable Code
R33.8
Billable

Diagnostic Criteria

  • • Postvoid residual ≥300mL via bladder scan
  • • Urodynamic confirmation of detrusor underactivity

Applicable To

  • • Retention due to neurogenic bladder
  • • Postoperative urinary retention

Important Notes

  • • Ensure to document the specific cause of retention.

Unspecified retention of urine

Billable Code
R33.9
Billable

Diagnostic Criteria

  • • Retention persists after ruling out obstruction, neurological, and pharmacologic causes

Applicable To

  • • Retention with no identifiable cause

Important Notes

  • • Document all efforts to identify the cause of retention.

Incomplete bladder emptying

Billable Code
R39.14
Billable

Diagnostic Criteria

  • • IPSS score ≥8
  • • Uroflowmetry Qmax <10mL/sec with interrupted flow

Applicable To

  • • Subjective feeling of incomplete emptying

Important Notes

  • • Ensure subjective symptoms are documented separately from objective findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

T36-T50

Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

Use to specify the drug causing the adverse effect leading to urinary retention.

N40.1

Benign prostatic hyperplasia with lower urinary tract symptoms

Use as a primary code if BPH is the cause of retention.

Frequently Asked Questions

What is the ICD-10 code for bladder retention?

The ICD-10 code for bladder retention varies based on the cause: R33.0 for drug-induced, R33.8 for other specified causes, and R33.9 for unspecified retention.

How do you code drug-induced urinary retention?

Code R33.0 for drug-induced urinary retention, and include an additional code from T36-T50 to specify the drug causing the adverse effect.

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