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v1.0.0
ICD-10 Guide
ICD-10 CodesR35.8

R35.8

Other polyuria

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

Code Description

ICD-10 R35.8 is a billable code used to indicate a diagnosis of other polyuria.

Key Diagnostic Point:

Polyuria is defined as the production of abnormally large volumes of urine, typically exceeding 3 liters per day in adults. The symptom can arise from various underlying conditions, including diabetes mellitus, diabetes insipidus, chronic kidney disease, and certain medications. Other causes may include excessive fluid intake (polydipsia), hypercalcemia, and certain endocrine disorders. Patients may present with increased thirst (polydipsia), nocturia, and frequent urination, which can significantly impact their quality of life. Laboratory findings may reveal elevated serum glucose levels in diabetes mellitus or abnormal electrolyte levels in cases of renal impairment. Accurate diagnosis requires a thorough clinical evaluation, including a detailed history, physical examination, and relevant laboratory tests to identify the underlying cause of polyuria. This code is used when polyuria is present but does not fit into more specific categories, necessitating careful documentation of the clinical context to ensure appropriate coding.

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-10 codes

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to differentiate from other urinary disorders
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of supporting lab results in the medical record

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including fluid intake, medication review, and relevant lab results.

Common Clinical Scenarios

Patients presenting with unexplained increased urination, often requiring differential diagnosis for diabetes or renal issues.

Billing Considerations

Ensure documentation reflects the clinical reasoning for selecting R35.8, especially when other causes are ruled out.

Emergency Medicine

Documentation Requirements

Acute care notes should include vital signs, fluid status, and immediate lab results.

Common Clinical Scenarios

Patients presenting with acute polyuria due to dehydration or acute kidney injury.

Billing Considerations

Rapid assessment and documentation are crucial; ensure that the cause of polyuria is clearly stated.

Coding Guidelines

Inclusion Criteria

Use R35.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the polyuria is not classified elsewhere
  • Document the clinical context and any relevant lab findings to support the diagnosis

Exclusion Criteria

Do NOT use R35.8 When
No specific exclusions found.

Related CPT Codes

80048CPT Code

Comprehensive metabolic panel

Clinical Scenario

Used to evaluate electrolyte levels in patients with polyuria.

Documentation Requirements

Document the reason for the test and any relevant findings.

Specialty Considerations

Internal medicine may require more detailed lab interpretation.

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 polyuria, improving the ability to capture the complexity of patient presentations and their underlying causes.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like polyuria, improving the ability to capture the complexity of patient presentations 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 should I document to support the use of R35.8?

Document the patient's history, any relevant lab findings, and the clinical reasoning for the diagnosis of polyuria. Ensure that the underlying cause is clearly stated if known.