ICD-10 Coding for Urinary Frequency(R35.0, R35.1)
Complete ICD-10-CM coding and documentation guide for Urinary Frequency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Urinary Frequency
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R35.0 | Frequency of micturition | Use when the patient reports frequent urination without a specific underlying condition identified. |
|
| R35.1 | Nocturia | Use when nocturia is the primary symptom reported by the patient. |
|
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 urinary frequency
Essential facts and insights about Urinary Frequency
Primary ICD-10-CM Codes for urinary frequency
Decision Criteria
clinical Criteria
- Patient reports urinating more than 8 times a day.
documentation Criteria
- Bladder diary or patient history confirms increased frequency.
Applicable To
- Frequent urination
Excludes
- Nocturia (R35.1)
Clinical Validation Requirements
- Bladder diary showing >8 voids/day
- Patient history indicating increased frequency
Code-Specific Risks
- Misclassification if nocturia is present
Coding Notes
- Ensure documentation specifies the frequency and context of urination.
R35.1 - Nocturia
Use when nocturia is the primary symptom reported by the patient.
Applicable To
- Nighttime urination
Excludes
- Frequency of micturition (R35.0)
Clinical Validation Requirements
- Patient reports waking up at night to urinate more than twice.
Coding Notes
Document the number of times the patient wakes up to urinate.
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 Urinary Frequency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R35.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Could result in coding errors and compliance issues., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Always ask about nighttime urination during patient interviews., Document the number of nighttime voids explicitly.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Misclassification may result in compliance issues., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies whether urination occurs primarily during the day or night.
Impact
Using R35.0 when nocturia is present.
Mitigation Strategy
Implement thorough documentation practices to capture specific urination patterns.
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 Urinary Frequency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urinary Frequency
Use these documentation templates to ensure complete and accurate documentation for Urinary Frequency. These templates include all required elements for proper coding and billing.
General Practice Evaluation of Urinary Frequency
Specialty: General PracticeRequired Elements
- Chief Complaint
- History of Present Illness
- Review of Systems
- Physical Examination
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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