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
Other diseases of the urinary system
Includes interstitial cystitis (painful bladder syndrome).
Other symptoms and signs involving the urinary system
May be used for symptoms like urinary frequency or urgency related to interstitial cystitis.
Somatoform disorders
Historically relevant for cases where psychological factors were suspected but now less common.
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.
When to use each related code
Description |
---|
Bladder pain with unknown cause |
Recurrent UTI-like symptoms |
Painful bladder syndrome |
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.
Incorrectly coding IC symptoms like bladder pain (R30.0) separately when they are integral to the IC diagnosis, causing inflated reporting and potential denials.
Coding both IC and Bladder Pain Syndrome (BPS, N30.2) when documentation supports only one, leading to redundant claims and compliance scrutiny.
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.