Neuromuscular dysfunction of bladder, not elsewhere classified
Chapter 14:Diseases of the genitourinary system
ICD-10 N31 is a used to indicate a diagnosis of neuromuscular dysfunction of bladder, not elsewhere classified.
The ICD-10 Level 1 Category code N31 refers to neuromuscular dysfunction of the bladder that is not classified elsewhere. This category encompasses a variety of conditions that affect the normal functioning of the bladder due to neurological issues. These may include neurogenic bladder disorders resulting from conditions such as multiple sclerosis, spinal cord injuries, or other neurological diseases that disrupt the nerve signals responsible for bladder control. Understanding and coding these conditions accurately is essential for effective patient management and treatment planning.
Detailed history of urinary symptoms, neurological assessment, bladder diary, and results from urodynamic studies.
Patients with neurogenic bladder due to spinal cord injury, multiple sclerosis, or diabetic neuropathy presenting with incontinence or urinary retention.
Ensure differentiation between primary bladder disorders and those secondary to neurological conditions; include neurological evaluations in the documentation.
Comprehensive neurological examination, history of neurological disorders, and impact on bladder function.
Patients with neurological diseases affecting bladder control, such as MS or Parkinson's disease presenting with urinary urgency or retention.
Document specific neurological diagnoses and their correlation with bladder dysfunction; consider comorbid conditions affecting management.
Assessment of kidney function, urinalysis, and comprehensive management plan addressing fluid balance and electrolyte status.
Patients with renal impairment from neurogenic bladder leading to urinary retention or recurrent urinary tract infections.
Monitor nephrotoxic medications and their impact on bladder management; coordinate with urology for comprehensive care.
Comprehensive medical history, review of medications, and assessment of comorbid conditions affecting bladder function.
Older adult patients with multiple comorbidities leading to urinary incontinence or retention due to neurological decline.
Consider age-related factors in bladder management; document medication review for potential side effects impacting bladder function.
Detailed patient history, indication for study, and complete results of the urodynamics.
Comprehensive assessment of bladder function and neurologic status; detailed report of findings.
Detailed history, examination findings, and management plan; assessment of treatment efficacy.
Indication for catheter placement, assessment of urinary retention, and consent for the procedure.
Comprehensive assessment of bladder function and neurologic status; detailed report of findings.
N31 includes various neuromuscular dysfunctions of the bladder such as neurogenic bladder due to spinal cord injury, multiple sclerosis, and other neurological disorders that impair bladder control.
N31 codes should be used when diagnosing patients with bladder dysfunction that is directly related to neurological conditions, ensuring that the specific neurological cause is documented.
Documentation should include a detailed patient history, neurological evaluation results, and any relevant diagnostic tests that support the diagnosis of neuromuscular dysfunction of the bladder.
