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v1.0.0
ICD-10 Guide
ICD-10 CodesR39.82

R39.82

Chronic bladder pain

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

Code Description

ICD-10 R39.82 is a billable code used to indicate a diagnosis of chronic bladder pain.

Key Diagnostic Point:

Chronic bladder pain, classified under ICD-10 code R39.82, refers to persistent discomfort or pain in the bladder region that lasts for an extended period, typically more than six months. This condition can significantly impact a patient's quality of life and may be associated with various underlying causes, including interstitial cystitis, urinary tract infections, bladder stones, or pelvic floor dysfunction. Symptoms often include a constant or intermittent aching sensation, urgency to urinate, frequency of urination, and sometimes pain during urination. Clinical evaluation may reveal tenderness in the suprapubic area, and laboratory findings may include urinalysis showing no signs of infection, which can help differentiate chronic bladder pain from acute urinary tract infections. The diagnosis of chronic bladder pain often requires a comprehensive approach, including a detailed patient history, physical examination, and possibly imaging studies or cystoscopy to rule out other conditions. Effective management may involve a multidisciplinary approach, including urologists, pain specialists, and physical therapists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other urinary symptoms
  • Need for comprehensive documentation
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify chronicity
  • Misclassification of acute vs. chronic conditions
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including symptom duration and impact on daily life, and results from any diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with chronic pelvic pain, frequent urination, and negative urinalysis.

Billing Considerations

Ensure to document any comorbid conditions that may contribute to bladder pain.

Emergency Medicine

Documentation Requirements

Acute care documentation must include a thorough assessment of pain severity, associated symptoms, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with acute exacerbations of chronic bladder pain, possibly with signs of infection.

Billing Considerations

Document any immediate treatments provided and follow-up recommendations.

Coding Guidelines

Inclusion Criteria

Use R39.82 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the chronic nature of the pain is well
  • documented and that all relevant symptoms are captured

Exclusion Criteria

Do NOT use R39.82 When
No specific exclusions found.

Related CPT Codes

52000CPT Code

Cystoscopy, diagnostic

Clinical Scenario

When evaluating chronic bladder pain to rule out other conditions.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urology specialists should ensure comprehensive documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic bladder pain, improving the ability to capture the complexity of the condition and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic bladder pain, improving the ability to capture the complexity of the condition and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of chronic bladder pain, improving the ability to capture the complexity of the condition and its management.

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 difference between chronic bladder pain and acute cystitis?

Chronic bladder pain refers to persistent discomfort lasting more than six months, while acute cystitis is a sudden onset of bladder inflammation typically associated with infection.