Painful micturition, unspecified
ICD-10 R30.9 is a billable code used to indicate a diagnosis of painful micturition, unspecified.
Painful micturition, or dysuria, is a symptom characterized by discomfort, pain, or burning sensation during urination. It can be associated with various underlying conditions, including urinary tract infections (UTIs), sexually transmitted infections (STIs), bladder inflammation, or urethral irritation. Patients may describe the pain as sharp, burning, or aching, and it may be accompanied by other symptoms such as increased frequency of urination, urgency, or hematuria (blood in urine). The etiology of painful micturition can range from benign to serious conditions, necessitating a thorough clinical evaluation. Laboratory findings may include urinalysis showing leukocytes, nitrites, or blood, which can indicate infection or inflammation. The clinical context is crucial, as the symptom may arise from a variety of causes, and the absence of a specific diagnosis necessitates the use of the unspecified code R30.9.
Detailed patient history, including onset, duration, and associated symptoms; results of urinalysis and any imaging studies.
Patients presenting with dysuria, frequency, and urgency, often with a suspected UTI.
Consideration of chronic conditions such as interstitial cystitis or prostatitis that may contribute to symptoms.
Acute presentation details, including vital signs, pain assessment, and immediate lab results.
Patients with acute dysuria presenting with fever, flank pain, or other systemic symptoms.
Rapid assessment for possible complications such as pyelonephritis or urinary obstruction.
Used when evaluating a patient with dysuria.
Document the reason for urinalysis and any findings.
Internal medicine may require additional tests based on findings.
Use R30.9 when a patient presents with painful micturition and no specific diagnosis has been established. Ensure that documentation supports the use of this unspecified code.
