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N30.10
ICD-10-CM
Interstitial Cystitis

Find key information on Interstitial Cystitis diagnosis, including clinical documentation requirements, ICD-10 codes (N30.10, N30.11, N30.12), bladder pain syndrome coding, and healthcare provider resources. Learn about accurate medical coding for IC, painful bladder syndrome PBS treatment, cystoscopy procedure coding, and essential documentation for insurance reimbursement. This resource supports healthcare professionals in proper diagnosis coding and clinical documentation of Interstitial Cystitis symptoms and related conditions.

Also known as

Painful Bladder Syndrome
Bladder Pain Syndrome

Diagnosis Snapshot

Key Facts
  • Definition : Chronic bladder pain syndrome with unknown cause.
  • Clinical Signs : Pelvic pain, urinary urgencyfrequency, painful urination.
  • Common Settings : Urology clinics, pain management centers, primary care.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N30.10 Coding
N30-N39

Other diseases of the urinary system

Includes interstitial cystitis (painful bladder syndrome).

R30-R39

Other symptoms and signs involving the urinary system

May be used for symptoms like urinary frequency or urgency related to interstitial cystitis.

F45-F48

Somatoform disorders

Historically relevant for cases where psychological factors were suspected but now less common.

Code-Specific Guidance

Decision Tree for

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

Is the diagnosis Interstitial Cystitis (IC)?

  • Yes

    Is Hunners ulcer present?

  • No

    Do NOT code as Interstitial Cystitis. Review documentation for alternative diagnosis.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Bladder pain with unknown cause
Recurrent UTI-like symptoms
Painful bladder syndrome

Documentation Best Practices

Documentation Checklist
  • Interstitial cystitis diagnosis: Document cystoscopy findings.
  • IC/BPS: Include symptom duration and severity in note.
  • Bladder pain syndrome: Rule out other bladder conditions.
  • Document patient response to IC/BPS treatments.
  • ICD-10 N80.10: Pelvic pain, urgency, frequency documented.

Coding and Audit Risks

Common Risks
  • Unspecified IC Code

    Using unspecified IC codes (e.g., N30.10) when more specific documentation supports other subtypes like Hunners lesion (N30.11), leading to inaccurate severity reflection and reimbursement.

  • Symptom Coding Errors

    Incorrectly coding IC symptoms like bladder pain (R30.0) separately when they are integral to the IC diagnosis, causing inflated reporting and potential denials.

  • Overlapping Codes with BPS

    Coding both IC and Bladder Pain Syndrome (BPS, N30.2) when documentation supports only one, leading to redundant claims and compliance scrutiny.

Mitigation Tips

Best Practices
  • ICD-10 N64.8, OAB documentation: Voiding diary improves diagnosis.
  • IC/BPS, Hunner lesions: Cystoscopy with hydrodistention is key.
  • Potassium sensitivity testing: Aids diagnosis, guides treatment (CPT 84165).
  • Symptom, pain scales (VAS, ICSI, OLearySant): Improve IC/PBS documentation.
  • Rule out confounds: UTI, STD testing crucial for compliance, accurate codes.

Clinical Decision Support

Checklist
  • 1. Rule out UTI: Urine culture/analysis.
  • 2. Symptom duration: 6+ weeks bladder pain?
  • 3. Exclude other diagnoses: Cystoscopy/biopsy?
  • 4. Assess pain severity: Validated tool used?
  • 5. Document: IC diagnosis, severity, treatment.

Reimbursement and Quality Metrics

Impact Summary
  • Interstitial Cystitis Reimbursement: Coding accuracy impacts payments. Focus on ICD-10 N20.0-N20.9, CPT 51700-52287 for optimal reimbursement.
  • Quality Metrics Impact: IC patient reported outcomes influence hospital quality scores. Track symptom severity, pain, quality of life.
  • Coding Accuracy: Correctly coding cystoscopies, biopsies, instillations crucial for accurate reporting and minimizing denials.
  • Hospital Reporting: Precise IC diagnosis coding improves data accuracy for internal quality improvement and public health 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 IC/BPS per AUA guidelines
  • Document cystoscopy findings
  • Include symptom details for N30.1
  • Consider K52.7 for bowel symptoms
  • Exclude infections, other bladder issues

Documentation Templates

Patient presents with symptoms consistent with Interstitial Cystitis (IC), also known as bladder pain syndrome (BPS).  The patient reports chronic pelvic pain, pressure, or discomfort, localized to the bladder and pelvic region.  Symptoms include urinary urgency, frequency, and nocturia, often without evidence of urinary tract infection (UTI) or other identifiable pathology.  Pain is often described as burning or aching, and may be exacerbated by bladder filling or certain foods and beverages.  Physical examination may reveal suprapubic tenderness.  Urinalysis and urine culture are typically negative for infection.  Cystoscopy with hydrodistention under anesthesia may reveal glomerulations or Hunner lesions, but these are not always present.  Differential diagnosis includes UTI, overactive bladder (OAB), endometriosis, and other pelvic pain disorders.  The diagnosis of IC is based on patient history, symptom presentation, and exclusion of other conditions.  Treatment plan may include lifestyle modifications such as dietary changes and stress management, pelvic floor physical therapy, oral medications such as pentosan polysulfate sodium (PPS) or amitriptyline, bladder instillations with dimethyl sulfoxide (DMSO) or heparin, and pain management strategies.  Patient education regarding IC, its chronic nature, and available treatment options is crucial.  Follow-up appointments are scheduled to monitor symptom improvement and adjust treatment as needed.  ICD-10 code N30.10 is used for Interstitial cystitis (chronic).  The patient is advised to contact the office with any worsening of symptoms or new concerns.
Interstitial Cystitis - AI-Powered ICD-10 Documentation