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ICD-10 Guide
ICD-10 CodesR33.0

R33.0

Drug induced retention of urine

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

Code Description

ICD-10 R33.0 is a billable code used to indicate a diagnosis of drug induced retention of urine.

Key Diagnostic Point:

Drug induced retention of urine (R33.0) refers to the inability to void urine due to the effects of certain medications. This condition can arise from various drug classes, including anticholinergics, opioids, and certain antidepressants, which can interfere with the normal function of the bladder and urethra. Symptoms typically include a feeling of fullness in the bladder, discomfort, and an inability to urinate despite the urge. In severe cases, it can lead to urinary retention, which may require catheterization. Clinicians should be aware of the patient's medication history, as well as any recent changes in medication, to identify potential drug-induced causes. Laboratory findings may include elevated post-void residual urine volume, and imaging studies may be necessary to rule out anatomical abnormalities. Proper diagnosis and management are crucial to prevent complications such as urinary tract infections or bladder damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of medications that can cause urinary retention
  • Need for thorough medication history review
  • Potential overlap with other urinary retention causes
  • Documentation of specific drug-related symptoms

Audit Risk Factors

  • Inadequate documentation of medication history
  • Failure to specify the drug causing retention
  • Misclassification of urinary retention type
  • Lack of supporting clinical findings

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed medication history, including dosage and duration of use.

Common Clinical Scenarios

Patients presenting with urinary retention after starting new medications.

Billing Considerations

Consideration of comorbidities that may exacerbate urinary retention.

Emergency Medicine

Documentation Requirements

Acute assessment of urinary retention, including vital signs and immediate interventions.

Common Clinical Scenarios

Patients with acute urinary retention requiring catheterization.

Billing Considerations

Rapid identification of drug-induced causes in acute settings.

Coding Guidelines

Inclusion Criteria

Use R33.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when urinary retention is directly linked to drug use
  • Document the specific drug and its dosage

Exclusion Criteria

Do NOT use R33.0 When
No specific exclusions found.

Related CPT Codes

51702CPT Code

Catheterization, bladder, simple

Clinical Scenario

Used when a patient with drug-induced urinary retention requires catheterization.

Documentation Requirements

Document the reason for catheterization and the patient's medication history.

Specialty Considerations

Emergency medicine may require rapid documentation due to acute presentations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of drug-induced conditions, improving the ability to track and manage adverse drug reactions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced conditions, improving the ability to track and manage adverse drug reactions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of drug-induced conditions, improving the ability to track and manage adverse drug reactions.

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 medications are commonly associated with drug-induced urinary retention?

Common medications include opioids, anticholinergics, certain antidepressants, and antihistamines, which can interfere with bladder function.