AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Difficulties with Micturition
Code R39.19, Other difficulties with micturition, has been expanded to uniquely identify the need to immediately re-void (R39.191), position dependent micturition (R39.192), and other difficulties with micturition (R39.198). Prior to this change, micturition disorder was classified to code R39.19. The American Urological Association (AUA) requested new codes to uniquely identify these specific difficulties with micturition. Voiding dysfunction means that the bladder is not able to empty appropriately and can be characterized by needing to re-void immediately after urinating, straining to urinate, spontaneous leaking after urination, and needing to assume specific positions in order to...
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Article Overview
This article reviews a coding update in ICD-10-CM related to difficulties with micturition and voiding dysfunction. It is aimed at coders and clinical documentation staff who need to understand the scope of the updated diagnosis terminology, the affected code family, and the general reasons the change was requested. The discussion includes broad clinical context and example scenarios to illustrate the documentation concepts addressed by the update.
Why This Topic Matters
Accurate identification of these urinary symptoms depends on documentation that matches the more specific ICD-10-CM options now available. This helps support clearer reporting and more precise communication between clinicians, coders, and data users.
What You Will Learn
- How an ICD-10-CM diagnosis family was expanded to capture more specific urinary voiding problems
- What broad clinical concepts are included under voiding dysfunction
- Why the coding update was requested by a professional specialty organization
- How documentation scenarios may relate to the updated diagnosis categories
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Physicians and other providers
- Health information management professionals
Codes Discussed
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