Feeling of incomplete bladder emptying
ICD-10 R39.14 is a billable code used to indicate a diagnosis of feeling of incomplete bladder emptying.
The feeling of incomplete bladder emptying, coded as R39.14, refers to a subjective sensation experienced by patients who perceive that their bladder has not fully emptied after urination. This symptom can be associated with various underlying conditions, including urinary tract infections, bladder outlet obstruction, or neurological disorders affecting bladder function. Patients may describe a persistent urge to urinate or a sensation of fullness despite having just voided. This symptom can significantly impact quality of life, leading to increased urinary frequency, nocturia, and potential anxiety regarding urinary control. Clinicians must evaluate this symptom in the context of a comprehensive urinary assessment, including a detailed history, physical examination, and possibly urodynamic studies to determine the underlying cause. Accurate documentation of the patient's experience, associated symptoms, and any relevant medical history is crucial for appropriate coding and management.
Detailed patient history, including urinary habits, associated symptoms, and any prior treatments.
Patients presenting with chronic urinary symptoms, often in the context of other comorbidities.
Consideration of medications that may affect bladder function, such as diuretics or anticholinergics.
Acute presentation documentation, including vital signs, initial assessment, and any immediate interventions.
Patients presenting with acute urinary retention or severe discomfort related to incomplete bladder emptying.
Rapid assessment of potential obstructive causes and the need for immediate intervention.
When urodynamic studies are performed to evaluate bladder function.
Document the indication for the study and findings.
Urology specialists often perform these studies.
Document the patient's description of the symptom, any associated urinary issues, and the clinical evaluation performed to assess the symptom.
