Complete ICD-10-CM coding and documentation guide for icd-10 coding for difficulty in urination includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Difficulty in Urination
Use ICD-10 code R39.1 for other difficulties with micturition, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Dysuria
Use if painful urination is also present.
Poor urinary stream
Use to specify symptom of poor stream in BPH.
The ICD-10 code for difficulty in urination is R39.1, which covers various micturition difficulties such as hesitancy and straining.
BPH with lower urinary tract symptoms is coded as N40.1 in ICD-10, requiring documentation of both prostate enlargement and LUTS.