Position dependent micturition
ICD-10 R39.192 is a billable code used to indicate a diagnosis of position dependent micturition.
Position dependent micturition refers to a condition where the ability to urinate is influenced by the patient's body position. This phenomenon can manifest as difficulty initiating urination or incomplete bladder emptying when the patient is in certain positions, such as standing or sitting. It is often observed in individuals with neurological conditions, pelvic floor dysfunction, or anatomical abnormalities. Symptoms may include hesitancy, straining, or a sensation of incomplete voiding. Clinical evaluation may reveal that patients can urinate more easily when lying down compared to standing. This condition may be associated with other urinary symptoms such as urgency, frequency, or nocturia. Understanding the underlying causes, which may include neurological disorders, pelvic organ prolapse, or urethral stricture, is crucial for effective management. Diagnosis typically involves a thorough history, physical examination, and possibly urodynamic studies to assess bladder function and identify any abnormalities.
Detailed patient history including urinary patterns and positional changes.
Patients presenting with urinary hesitancy or incomplete voiding.
Consideration of comorbidities that may affect urinary function.
Acute assessment of urinary symptoms and immediate interventions.
Patients with acute urinary retention or severe discomfort.
Rapid evaluation of potential underlying causes such as obstruction.
When urodynamic studies are performed to assess bladder function.
Document indications for testing and findings from the study.
Urology specialists may frequently use this code in conjunction with R39.192.
Position dependent micturition is a condition where the ability to urinate is influenced by the patient's body position, often leading to difficulty in voiding when standing or sitting.
