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v1.0.0
ICD-10 Guide
ICD-10 CodesR30

R30

Pain associated with micturition

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R30 is a billable code used to indicate a diagnosis of pain associated with micturition.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for comprehensive patient history
  • Differentiation from other urinary symptoms
  • Potential overlap with other ICD codes

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the underlying cause
  • Misuse of related codes
  • Lack of supporting lab findings

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset, duration, and characteristics of pain, as well as associated urinary symptoms.

Common Clinical Scenarios

Patients presenting with recurrent UTIs or chronic pelvic pain.

Billing Considerations

Consideration of comorbidities that may affect urinary symptoms, such as diabetes or neurological disorders.

Emergency Medicine

Documentation Requirements

Acute presentation documentation, including vital signs, pain assessment, and immediate lab results.

Common Clinical Scenarios

Patients with acute onset of dysuria and fever, possibly indicating a severe UTI or pyelonephritis.

Billing Considerations

Rapid assessment and treatment protocols, including the need for immediate imaging or referral.

Coding Guidelines

Inclusion Criteria

Use R30 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when pain associated with micturition is documented and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use R30 When
No specific exclusions found.

Related Codes

Child Codes

3 codes
R30.0
Dysuria
R30.1
Vesical tenesmus
R30.9
Painful micturition, unspecified

Related CPT Codes

87086CPT Code

Urine culture, bacterial, quantitative

Clinical Scenario

When a UTI is suspected based on symptoms.

Documentation Requirements

Document the reason for the culture and any associated symptoms.

Specialty Considerations

Urology may require additional imaging or procedures.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like pain associated with micturition, improving the ability to track and analyze urinary conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like pain associated with micturition, improving the ability to track and analyze urinary conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like pain associated with micturition, improving the ability to track and analyze urinary conditions.

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

When should R30 be used?

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.