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ICD-10 Coding for Frequency of Urination(R35.0, R35.1)

Complete ICD-10-CM coding and documentation guide for Frequency of Urination. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Frequent UrinationIncreased Urination Frequencyurinary frequencyincreased urinationpolyuria

Related ICD-10 Code Ranges

Complete code families applicable to Frequency of Urination

R30-R39Primary Range

Symptoms and signs involving the urinary system

This range includes codes for symptoms related to urination, including frequency.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R35.0Frequency of micturitionUse when a patient reports increased daytime urination frequency without nocturia or other specific conditions.
  • Bladder diary showing >8 voids/day
  • Normal post-void residual (PVR) <100 mL
  • Absence of urinary tract infection (negative culture)
R35.1NocturiaUse when nocturnal urination is the primary complaint.
  • Frequency-volume chart showing >33% daily output at night

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 frequency of urination

Essential facts and insights about Frequency of Urination

The ICD-10 code for frequency of urination is R35.0, used for increased daytime urination frequency.

Primary ICD-10-CM Codes for frequency of urination

Frequency of micturition
Billable Code

Decision Criteria

clinical Criteria

  • Patient reports >8 daytime voids with normal PVR and negative urine culture.

coding Criteria

  • Sequence underlying conditions first if identified.

Applicable To

  • Increased frequency of urination

Excludes

Clinical Validation Requirements

  • Bladder diary showing >8 voids/day
  • Normal post-void residual (PVR) <100 mL
  • Absence of urinary tract infection (negative culture)

Code-Specific Risks

  • Misuse when nocturia is the primary complaint
  • Incorrect sequencing with underlying conditions

Coding Notes

  • Ensure documentation specifies frequency and excludes nocturia.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Urinary tract infection, site not specified

N39.0
Use when frequency is due to a UTI, sequencing N39.0 first.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Nocturia

R35.1
Use R35.1 when nocturnal urination is the primary issue.

Frequency of micturition

R35.0
Use R35.0 for daytime frequency without nocturia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Frequency of Urination to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R35.0.

Impact

Clinical: Misdiagnosis of urinary conditions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Use separate documentation for nocturia., Ensure clear patient history.

Impact

Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Always code the underlying condition first, followed by R35.0 or R35.1.

Impact

Failure to sequence underlying conditions first.

Mitigation Strategy

Regular training on ICD-10 guidelines.

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 Frequency of Urination, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Frequency of Urination

Use these documentation templates to ensure complete and accurate documentation for Frequency of Urination. These templates include all required elements for proper coding and billing.

Patient with idiopathic frequency

Specialty: Urology

Required Elements

  • Voiding pattern
  • Bladder diary
  • Urinalysis results

Example Documentation

Patient reports 12 daytime voids with normal PVR and negative urinalysis.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient complains of frequent urination.
Good Documentation Example
Patient reports 12 daytime voids confirmed by bladder diary, PVR 25 mL, urinalysis negative.
Explanation
The good example provides quantification and supporting test results.

Need help with ICD-10 coding for Frequency of Urination? Ask your questions below.

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