Overactive bladder
ICD-10 N32.81 is a billable code used to indicate a diagnosis of overactive bladder.
Overactive bladder (OAB) is a condition characterized by a sudden and uncontrollable urge to urinate, often accompanied by increased frequency of urination and nocturia. Patients may experience urinary incontinence, which is the involuntary loss of urine. OAB can significantly impact quality of life, leading to social embarrassment, anxiety, and depression. The condition may arise from various underlying causes, including neurogenic bladder dysfunction, bladder inflammation (cystitis), or idiopathic factors. Neurogenic bladder refers to bladder dysfunction due to neurological conditions such as multiple sclerosis, spinal cord injuries, or stroke, which can disrupt normal bladder control. Cystitis, an inflammation of the bladder, can also contribute to symptoms of OAB, particularly when associated with urinary tract infections. Diagnosis typically involves a thorough patient history, physical examination, and may include urodynamic studies to assess bladder function. Treatment options range from lifestyle modifications and pelvic floor exercises to pharmacological interventions and, in some cases, surgical options. Accurate coding is essential for appropriate management and reimbursement.
Detailed patient history, including symptom onset, frequency, and severity; results of urodynamic studies; and treatment plans.
Patients presenting with urinary urgency, frequency, and incontinence; post-surgical patients with bladder dysfunction.
Ensure documentation reflects the specific type of bladder dysfunction and any neurological assessments performed.
Comprehensive neurological assessment, including history of neurological disorders, bladder function tests, and treatment responses.
Patients with neurological conditions presenting with bladder control issues; follow-up on treatment efficacy.
Document any neurological evaluations that may contribute to bladder dysfunction.
Used for patients with suspected neurogenic bladder.
Detailed report of urodynamic findings and patient history.
Urology specialists should ensure comprehensive documentation of bladder function tests.
The primary symptom of overactive bladder is a sudden and uncontrollable urge to urinate, often accompanied by increased frequency of urination and, in some cases, urinary incontinence.
