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N30.01
ICD-10-CM
Hemorrhagic Cystitis

Find comprehensive information on hemorrhagic cystitis, including clinical documentation tips, medical coding guidelines (ICD-10 codes), diagnosis, treatment, and management strategies. Learn about the causes, symptoms, and prevention of bladder bleeding and explore resources for healthcare professionals involved in urological care. This resource addresses key aspects of hemorrhagic cystitis relevant to physicians, nurses, and medical coders seeking accurate and up-to-date information.

Also known as

Radiation-induced cystitis
Chemotherapy-induced cystitis
BK virus-associated cystitis

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of the bladder lining with bleeding, often caused by infection or medication.
  • Clinical Signs : Blood in urine (hematuria), pelvic pain, frequent urination, painful urination (dysuria).
  • Common Settings : Post-chemotherapy, radiation therapy, viral infections (adenovirus), certain medications.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N30.01 Coding
N30-N39

Other diseases of the urinary system

Includes various urinary disorders like hemorrhagic cystitis.

T80-T88

Complications of surgical/medical care

Can capture hemorrhagic cystitis as a complication of treatment.

Y80-Y84

Complications of medical/surgical care

May be used if caused by medical devices or procedures.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the hemorrhagic cystitis associated with a drug?

  • Yes

    If due to antineoplastic therapy, is it prophylactic?

  • No

    Is it due to radiation?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Bladder lining inflammation with bleeding
Bladder infection
Interstitial cystitis

Documentation Best Practices

Documentation Checklist
  • Hemorrhagic cystitis diagnosis: Document symptom onset
  • Document hematuria characteristics (gross vs microscopic)
  • Cystoscopy findings: Include bladder mucosa description
  • Rule out other causes: Infection, radiation, medication
  • ICD-10 code for hemorrhagic cystitis: N30.0

Coding and Audit Risks

Common Risks
  • Unspecified Cause

    Coding hemorrhagic cystitis without specifying infectious, drug-induced, or radiation-induced etiology leads to inaccurate reporting and potential DRG misclassification.

  • Missed Secondary Codes

    Failing to capture associated complications like urinary tract infections or pain requiring separate coding can impact quality metrics and reimbursement.

  • Unconfirmed Diagnoses

    Coding hemorrhagic cystitis based on symptoms alone without confirmatory diagnostic testing poses compliance risks and potential claim denials.

Mitigation Tips

Best Practices
  • Document BK virus, adenovirus tests for HC.
  • Detailed chemo, radiation notes for accurate ICD-10 coding.
  • Timely cystoscopy reporting improves CDI, HCC coding.
  • Monitor hydration, urine pH for hemorrhagic cystitis prevention.
  • Standardize HC documentation for compliance, MS-DRG optimization.

Clinical Decision Support

Checklist
  • 1. Recent pelvic radiation/chemotherapy? (ICD-10 N30.9)
  • 2. Hematuria confirmed? (SNOMED CT 48177002) Document gross/microscopic
  • 3. BK virus or adenovirus tested? (ICD-10 B97.8) Document results
  • 4. Other cystitis causes ruled out? Document differential diagnosis

Reimbursement and Quality Metrics

Impact Summary
  • Hemorrhagic Cystitis reimbursement hinges on accurate ICD-10-CM (N30.0-N30.9) and CPT coding for cystoscopy, urine analysis, imaging, and treatment.
  • Quality metrics impacted: Hospital-Acquired Condition (HAC) reporting, patient safety indicators (PSI), length of stay (LOS).
  • Coding errors lead to claim denials, reduced revenue, and inaccurate quality data reporting for hemorrhagic cystitis.
  • Proper documentation of cause, severity, and treatment of hemorrhagic cystitis is crucial for optimal reimbursement and quality reporting.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code underlying cause, e.g., chemo
  • Document hematuria specifics
  • Query physician if etiology unclear
  • Consider N64.8 for unspecified
  • Check ICD-10-CM guidelines

Documentation Templates

Patient presents with symptoms consistent with hemorrhagic cystitis, including gross hematuria, dysuria, urinary frequency, and urgency.  The patient reports [Insert onset and duration of symptoms, e.g.,  sudden onset of symptoms two days ago].  Pain is described as [Insert patient's description of pain, e.g., burning or sharp] and located in the [Insert location, e.g., suprapubic area or lower abdomen].  Review of systems reveals [Insert pertinent positive and negative findings, e.g.,  no fever, chills, or flank pain. Patient denies history of recent upper respiratory infection].  Physical examination reveals [Insert relevant physical exam findings, e.g.,  suprapubic tenderness on palpation, no costovertebral angle tenderness].  Differential diagnosis includes urinary tract infection, bladder cancer, urolithiasis, and medication-induced hemorrhagic cystitis.  Considering the patient's presentation and history, including [Insert relevant risk factors, e.g., recent chemotherapy with cyclophosphamide or radiation therapy to the pelvic region, history of BK virus infection], hemorrhagic cystitis is the leading diagnosis.  Urinalysis demonstrates [Insert urinalysis results, e.g.,  hematuria, pyuria, and presence of red blood cells].  Cystoscopy is [Insert if performed or planned, e.g., planned to visualize the bladder mucosa and rule out other pathologies].  Treatment plan includes [Insert treatment details, e.g.,  hydration, pain management with analgesics, bladder irrigation if indicated, and discontinuation of causative medications if applicable.  Monitoring for complications such as urinary tract obstruction and renal insufficiency will be implemented].  Patient education provided regarding symptom management, fluid intake, and potential complications.  Follow-up scheduled in [Insert timeframe, e.g., one week] to reassess symptoms and evaluate treatment response.  ICD-10 code N30.0, hemorrhagic cystitis, is assigned.
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