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ICD-10 Guide
ICD-10 CodesN32.3

N32.3

Billable

Diverticulum of bladder

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N32.3 is a billable code used to indicate a diagnosis of diverticulum of bladder.

Key Diagnostic Point:

Diverticulum of the bladder refers to an abnormal pouch or sac that forms in the bladder wall. This condition can arise due to increased pressure within the bladder, often resulting from bladder outlet obstruction or neurogenic bladder dysfunction. Patients may present with symptoms such as urinary incontinence, recurrent urinary tract infections (UTIs), and bladder dysfunction. Cystitis, or inflammation of the bladder, can also occur as a secondary complication due to stagnant urine in the diverticulum. Neurogenic bladder, which can be caused by conditions such as spinal cord injuries or multiple sclerosis, may lead to impaired bladder control and increased risk of diverticulum formation. The presence of a diverticulum can complicate the management of urinary incontinence and other bladder disorders, necessitating careful evaluation and treatment planning. Diagnosis typically involves imaging studies such as ultrasound or cystography, and management may include surgical intervention if symptomatic or if complications arise.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Potential for associated conditions like cystitis and neurogenic bladder
  • Need for precise documentation of symptoms and imaging findings
  • Differentiation from other bladder disorders

Audit Risk Factors

  • Inadequate documentation of symptoms and imaging results
  • Failure to document associated conditions like cystitis
  • Misclassification of diverticulum as a primary diagnosis
  • Lack of clarity on the need for surgical intervention

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on patient history, symptoms, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent UTIs, urinary retention, or incontinence.

Billing Considerations

Ensure clarity on the relationship between diverticulum and other bladder disorders.

Neurology

Documentation Requirements

Comprehensive neurological assessment and documentation of neurogenic bladder status.

Common Clinical Scenarios

Patients with spinal cord injuries or neurological conditions presenting with bladder dysfunction.

Billing Considerations

Document the impact of neurological conditions on bladder function and the potential for diverticulum.

Coding Guidelines

Inclusion Criteria

Use N32.3 When
  • According to ICD
  • 10 guidelines, N32
  • 3 should be used when a diverticulum is confirmed through imaging
  • It is important to document any associated conditions such as cystitis or urinary incontinence to ensure accurate coding

Exclusion Criteria

Do NOT use N32.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52281CPT Code

Cystoscopy with diverticulum excision

Clinical Scenario

Used when a diverticulum is surgically excised during cystoscopy.

Documentation Requirements

Document indication for surgery, findings during cystoscopy, and post-operative care.

Specialty Considerations

Urologists should ensure comprehensive documentation of the diverticulum's characteristics.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bladder conditions, including diverticulum, which enhances the accuracy of patient records and facilitates better management of bladder disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bladder conditions, including diverticulum, which enhances the accuracy of patient records and facilitates better management of bladder disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bladder conditions, including diverticulum, which enhances the accuracy of patient records and facilitates better management of bladder disorders.

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 are the common symptoms of bladder diverticulum?

Common symptoms include urinary incontinence, recurrent urinary tract infections, pelvic pain, and urinary retention. Patients may also experience difficulty in fully emptying the bladder.