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v1.0.0
ICD-10 Guide
ICD-10 CodesR30.0

R30.0

Dysuria

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

Code Description

ICD-10 R30.0 is a billable code used to indicate a diagnosis of dysuria.

Key Diagnostic Point:

Dysuria refers to the painful or difficult urination that can be a symptom of various underlying conditions. It is characterized by a burning sensation, discomfort, or pain during urination. Dysuria can occur in both men and women and may be associated with other urinary symptoms such as frequency, urgency, and hematuria. Common causes include urinary tract infections (UTIs), sexually transmitted infections (STIs), bladder or kidney stones, and inflammation of the urethra or bladder. In some cases, dysuria may also be linked to non-infectious causes such as irritants from soaps or hygiene products. Clinical evaluation typically involves a thorough history and physical examination, urinalysis, and possibly urine culture to identify any infectious agents. Understanding the etiology of dysuria is crucial for appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes requiring differential diagnosis
  • Potential overlap with other urinary symptoms
  • Need for thorough documentation of patient history
  • Variability in presentation based on patient demographics

Audit Risk Factors

  • Inadequate documentation of symptoms and patient history
  • Failure to specify the underlying cause of dysuria
  • Misuse of related codes leading to incorrect billing
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset, duration, and associated symptoms; results of urinalysis and cultures.

Common Clinical Scenarios

Patients presenting with dysuria due to UTIs, prostatitis, or interstitial cystitis.

Billing Considerations

Consideration of chronic conditions and comorbidities that may affect urinary symptoms.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients with acute dysuria presenting with fever, flank pain, or signs of sepsis.

Billing Considerations

Rapid assessment and treatment protocols for potential serious underlying conditions.

Coding Guidelines

Inclusion Criteria

Use R30.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when dysuria is documented as a symptom
  • Always check for any underlying conditions that may need to be coded in conjunction

Exclusion Criteria

Do NOT use R30.0 When
No specific exclusions found.

Related CPT Codes

87086CPT Code

Urine culture, bacterial

Clinical Scenario

Used when dysuria is suspected to be due to a UTI.

Documentation Requirements

Document the reason for the culture and any relevant symptoms.

Specialty Considerations

Ensure that the culture is linked to the diagnosis of dysuria.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dysuria, improving the ability to capture the complexity of urinary symptoms and their underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dysuria, improving the ability to capture the complexity of urinary symptoms and their underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dysuria, improving the ability to capture the complexity of urinary symptoms and their underlying causes.

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 primary cause of dysuria?

The most common cause of dysuria is a urinary tract infection (UTI), but it can also be caused by sexually transmitted infections, bladder stones, or irritants.