ICD-10 Coding for Hemorrhagic Cystitis(N30.41, N30.01, B97.1)
Complete ICD-10-CM coding and documentation guide for Hemorrhagic Cystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemorrhagic Cystitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N30.41 | Irradiation cystitis with hematuria | Use when hemorrhagic cystitis is due to radiation therapy. |
|
| N30.01 | Acute cystitis with hematuria | Use when hemorrhagic cystitis is due to chemotherapy. |
|
| B97.1 | Viral agents as the cause of diseases classified elsewhere, BK virus | Use when hemorrhagic cystitis is associated with BK virus infection. |
|
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 radiation-induced hemorrhagic cystitis
Essential facts and insights about Hemorrhagic Cystitis
Primary ICD-10-CM Codes for hemorrhagic cyst
Decision Criteria
clinical Criteria
- Patient has undergone radiation therapy and presents with hematuria.
Applicable To
- Radiation-induced hemorrhagic cystitis
Excludes
- Cystitis NOS (N30.9)
Clinical Validation Requirements
- History of pelvic radiation
- Presence of gross hematuria
- Cystoscopic confirmation of mucosal hemorrhage
Code-Specific Risks
- Misclassification if hematuria is not documented
Coding Notes
- Ensure documentation specifies radiation as the cause.
N30.01 - Acute cystitis with hematuria
Use when hemorrhagic cystitis is due to chemotherapy.
Applicable To
- Chemotherapy-induced hemorrhagic cystitis
Excludes
- Cystitis NOS (N30.9)
Clinical Validation Requirements
- Exposure to chemotherapeutic agents like cyclophosphamide
- Presence of hematuria
Coding Notes
Ensure documentation specifies chemotherapy as the cause.
B97.1 - Viral agents as the cause of diseases classified elsewhere, BK virus
Use when hemorrhagic cystitis is associated with BK virus infection.
Applicable To
- BK virus-associated hemorrhagic cystitis
Clinical Validation Requirements
- Positive BK virus PCR test
- Post-hematopoietic stem cell transplant context
Coding Notes
Ensure documentation specifies BK virus as the cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hemorrhagic Cystitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.41.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure complete documentation of patient history., Include all relevant diagnostic findings.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on the prevalence of radiation-induced cystitis.
Mitigation Strategy
Use N30.41 when radiation is the confirmed cause.
Impact
Risk of coding cystitis without specifying the cause.
Mitigation Strategy
Ensure thorough documentation of patient history and diagnostic findings.
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 Hemorrhagic Cystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemorrhagic Cystitis
Use these documentation templates to ensure complete and accurate documentation for Hemorrhagic Cystitis. These templates include all required elements for proper coding and billing.
Radiation-induced hemorrhagic cystitis
Specialty: OncologyRequired Elements
- Patient history of radiation
- Symptoms of hematuria
- Cystoscopy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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