ICD-10 Coding for Decreased Urination(R34, N17.9)
Complete ICD-10-CM coding and documentation guide for Decreased Urination. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Decreased Urination
Symptoms and signs involving the urinary system
Includes codes for various urinary symptoms, including decreased urination.
R34Primary Range
Anuria and oliguria
Primary code for decreased urination, specifically oliguria and anuria.
Acute kidney failure and chronic kidney disease
Includes codes for kidney conditions that may cause or result from decreased urination.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R34 | Anuria and oliguria | Use when urine output is significantly reduced, meeting oliguria or anuria criteria. |
|
| N17.9 | Acute kidney injury, unspecified | Use when acute kidney injury is present with decreased urination. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for decreased urination
Essential facts and insights about Decreased Urination
Primary ICD-10-CM Codes for decreased urination
Decision Criteria
clinical Criteria
- Urine output <0.5 mL/kg/hr for 6 hours
documentation Criteria
- Document specific urine output volumes and time duration
Applicable To
- Urine output <100 mL/day (anuria)
- Urine output 100-400 mL/day (oliguria)
Clinical Validation Requirements
- Urine output <0.5 mL/kg/hr for 6 hours
- Bladder scan showing PVR >300 mL
Code-Specific Risks
- Misclassification if urine output is not quantified
- Overlooking underlying causes such as AKI
Coding Notes
- Ensure urine output is documented with specific volumes and time frames.
N17.9 - Acute kidney injury, unspecified
Use when acute kidney injury is present with decreased urination.
Excludes
- Chronic kidney disease (N18.-)
Clinical Validation Requirements
- Creatinine increase ≥0.3 mg/dL in 48 hours
- Urine output <0.5 mL/kg/hr for 6 hours
Coding Notes
Ensure AKI is documented with lab findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Decreased Urination to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R34.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Train staff on documentation standards, Use templates to ensure complete documentation
Impact
Reimbursement: May lead to denied claims due to insufficient documentation., Compliance: Non-compliance with coding guidelines requiring specific metrics., Data Quality: Inaccurate data on patient condition severity.
Mitigation Strategy
Document precise urine output in mL/kg/hr over a specified time period.
Impact
Inadequate documentation of urine output can lead to audit issues.
Mitigation Strategy
Implement standardized documentation practices and regular audits.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Decreased Urination, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Decreased Urination
Use these documentation templates to ensure complete and accurate documentation for Decreased Urination. These templates include all required elements for proper coding and billing.
Patient with acute oliguria
Specialty: NephrologyRequired Elements
- Urine output measurements
- Creatinine and BUN levels
- Underlying cause identification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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