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R35.0
ICD-10-CM
Urination Frequency

Understand urination frequency (pollakiuria), including its clinical documentation, medical coding (ICD-10), and differential diagnosis. Learn about frequent urination causes, symptoms, and treatments. This resource covers relevant healthcare terminology for both patients and medical professionals seeking information on increased urinary frequency, nocturia, overactive bladder (OAB), and related urological conditions. Explore diagnostic criteria, management strategies, and medical coding best practices for accurate clinical documentation of urination frequency.

Also known as

Frequent Urination
Increased Urinary Frequency

Diagnosis Snapshot

Key Facts
  • Definition : Urinating more often than usual.
  • Clinical Signs : Frequent voiding, small volumes, urgency, nocturia, possible discomfort.
  • Common Settings : UTI, diabetes, pregnancy, prostate issues, medications, anxiety.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R35.0 Coding
R35.0

Frequency of urination

Increased frequency of urination.

N39.4

Urinary urgency

Sudden compelling desire to urinate.

R30.9

Dysuria NOS

Painful or difficult urination, unspecified.

N30-N39

Other disorders of urinary system

Includes other specified urinary disorders.

Code-Specific Guidance

Decision Tree for

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

Is frequency due to pregnancy?

  • Yes

    Code O26.84 Other specified disorders of micturition in pregnancy

  • No

    Is frequency due to prostate issue?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Frequent urination
Overactive bladder
Polyuria

Documentation Best Practices

Documentation Checklist
  • Frequency documented with specific times/intervals.
  • Onset and duration of increased urination.
  • Associated symptoms (e.g., dysuria, urgency, nocturia).
  • Volume of urine per void (if measurable).
  • Relevant patient history (medications, fluid intake).

Coding and Audit Risks

Common Risks
  • Unspecified Frequency

    Coding frequent urination without specifying nocturia, urgency, or other symptoms leads to inaccurate severity and reimbursement.

  • UTI vs. Other Causes

    Misdiagnosis between UTI and other conditions like BPH or diabetes can impact appropriate treatment and coding accuracy for urinary frequency.

  • Lacking Clinical Details

    Insufficient documentation of frequency, onset, and associated symptoms hinders accurate code assignment and compliance audits for urinary frequency diagnoses.

Mitigation Tips

Best Practices
  • Document frequency, timing, volume for accurate ICD-10 coding (N39.4).
  • CDI: Query physician for underlying causes like UTI, BPH, diabetes.
  • Ensure compliant documentation supports medical necessity of tests/treatments.
  • Consider age, gender-specific norms when evaluating frequency complaints.
  • Review medication list for diuretics contributing to increased urination.

Clinical Decision Support

Checklist
  • Verify age and gender for normal frequency range.
  • Document frequency, urgency, and nocturia details.
  • Consider UTI, diabetes, BPH, pregnancy, medications.
  • Review fluid intake, caffeine, and alcohol consumption.
  • If symptoms persist, order urinalysis and further workup.

Reimbursement and Quality Metrics

Impact Summary
  • Urination Frequency reimbursement hinges on accurate ICD-10 coding (N39.4, R35.0) for optimal claims processing.
  • Quality metrics impacted: UTI incidence, patient satisfaction (symptom control), unplanned readmissions (complication management).
  • Coding errors leading to underpayment or denials impact revenue cycle management for urination frequency diagnosis.
  • Accurate coding and documentation of urination frequency are crucial for hospital quality reporting and pay-for-performance programs.

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 specific frequency/urgency
  • Document nocturia episodes
  • R/O UTI, diabetes, BPH
  • Consider OAB diagnosis codes
  • Check medical necessity guidelines

Documentation Templates

Patient presents with a chief complaint of frequent urination (urinary frequency, pollakiuria).  Onset of increased urinary frequency is reported as [Onset - e.g., gradual over the past three months, acute onset two days ago].  Frequency is described as [Frequency Description - e.g., voiding every hour, needing to urinate multiple times during the night (nocturia), constant urge to urinate (urgency)].  Patient denies [Pertinent Negatives - e.g., dysuria, hematuria, fever, chills, flank pain].  Associated symptoms include [Associated Symptoms, if any - e.g., urgency, hesitancy, weak stream, incomplete emptying].  Patient's medical history includes [Relevant Medical History - e.g., diabetes mellitus type 2, benign prostatic hyperplasia, urinary tract infections, overactive bladder].  Current medications include [Current Medications].  Physical examination reveals [Physical Exam Findings - e.g., suprapubic tenderness, enlarged prostate on digital rectal exam, normal costovertebral angle tenderness].  Differential diagnosis includes urinary tract infection, overactive bladder, diabetes mellitus, benign prostatic hyperplasia, interstitial cystitis, prostate cancer.  Preliminary diagnosis is urinary frequency.  Plan includes [Plan - e.g., urinalysis, urine culture, post-void residual measurement, prostate-specific antigen (PSA) if indicated, uroflowmetry, referral to urology if indicated].  Patient education provided on bladder health, fluid management, and potential underlying causes of urinary frequency.  Follow-up scheduled in [Duration - e.g., two weeks, one month] to review results and discuss further management.
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