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v1.0.0
ICD-10 Guide
ICD-10 CodesN30.01

N30.01

Billable

Acute cystitis with hematuria

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N30.01 is a billable code used to indicate a diagnosis of acute cystitis with hematuria.

Key Diagnostic Point:

Acute cystitis is an inflammation of the bladder, typically caused by a bacterial infection. It is characterized by symptoms such as frequent urination, urgency, and dysuria (painful urination). When hematuria, or blood in the urine, is present, it indicates a more severe inflammatory response or possible damage to the bladder lining. Acute cystitis with hematuria can occur in both genders but is more prevalent in females due to anatomical differences. Risk factors include sexual activity, urinary tract abnormalities, and certain medical conditions such as diabetes or neurogenic bladder. Neurogenic bladder refers to bladder dysfunction caused by neurological conditions, which can lead to urinary retention or incontinence, complicating the management of cystitis. Accurate diagnosis often requires urinalysis and urine culture to identify the causative organism. Treatment typically involves antibiotics and may require additional interventions if complications arise. Understanding the interplay between cystitis, bladder dysfunction, and urinary incontinence is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic cystitis
  • Identifying the presence of hematuria
  • Understanding associated conditions like neurogenic bladder
  • Documenting symptoms accurately

Audit Risk Factors

  • Inadequate documentation of hematuria
  • Failure to specify acute versus chronic cystitis
  • Misclassification of urinary incontinence types
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including urinary symptoms and prior urinary tract infections.

Common Clinical Scenarios

Patients presenting with dysuria, frequency, and hematuria.

Billing Considerations

Consideration of underlying bladder dysfunction or neurological conditions.

Primary Care

Documentation Requirements

Comprehensive review of symptoms, urinalysis results, and treatment plans.

Common Clinical Scenarios

Patients with recurrent urinary tract infections or those with risk factors for cystitis.

Billing Considerations

Monitoring for complications and referral to specialists if necessary.

Coding Guidelines

Inclusion Criteria

Use N30.01 When
  • Follow the official ICD
  • CM coding guidelines for urinary tract infections, ensuring accurate documentation of symptoms and laboratory findings
  • Include any relevant history of urinary tract abnormalities or neurological conditions

Exclusion Criteria

Do NOT use N30.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

87086CPT Code

Urine culture

Clinical Scenario

Used to confirm the presence of infection in patients with acute cystitis.

Documentation Requirements

Document the reason for the culture and any prior treatments.

Specialty Considerations

Urologists may require additional imaging if complications are suspected.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like acute cystitis with hematuria, improving data accuracy and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acute cystitis with hematuria, improving data accuracy and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like acute cystitis with hematuria, improving data accuracy and treatment tracking.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between acute cystitis and chronic cystitis?

Acute cystitis is a sudden onset of inflammation typically caused by infection, while chronic cystitis is a long-term condition that may result from ongoing irritation or infection.