Pain associated with micturition
ICD-10 R30 is a billable code used to indicate a diagnosis of pain associated with micturition.
Pain associated with micturition (R30) refers to discomfort or pain experienced during urination. This symptom can manifest as a sharp, burning, or aching sensation and may be localized to the bladder, urethra, or surrounding pelvic area. It is often indicative of underlying conditions such as urinary tract infections (UTIs), bladder inflammation (cystitis), urethritis, or even more serious conditions like interstitial cystitis or bladder cancer. Patients may report associated symptoms such as increased frequency of urination, urgency, hematuria (blood in urine), or changes in urine color or odor. Accurate identification of the cause of micturition pain is crucial for effective treatment and management. Clinical evaluation typically includes a thorough history, physical examination, urinalysis, and possibly imaging studies or cystoscopy to determine the underlying etiology.
Detailed patient history, including onset, duration, and characteristics of pain, as well as associated urinary symptoms.
Patients presenting with recurrent UTIs or chronic pelvic pain.
Consideration of comorbidities that may affect urinary symptoms, such as diabetes or neurological disorders.
Acute presentation documentation, including vital signs, pain assessment, and immediate lab results.
Patients with acute onset of dysuria and fever, possibly indicating a severe UTI or pyelonephritis.
Rapid assessment and treatment protocols, including the need for immediate imaging or referral.
When a UTI is suspected based on symptoms.
Document the reason for the culture and any associated symptoms.
Urology may require additional imaging or procedures.
R30 should be used when a patient presents with pain during urination, and the cause is not specified elsewhere. Ensure that the documentation supports the symptom and any associated findings.