Nocturia
ICD-10 R35.1 is a billable code used to indicate a diagnosis of nocturia.
Nocturia is defined as the condition of waking up during the night to urinate. It is a common symptom that can significantly impact the quality of life, leading to sleep disturbances and daytime fatigue. The condition can be caused by various factors, including excessive fluid intake before bedtime, urinary tract infections, diabetes mellitus, heart failure, and prostate disorders in men. Nocturia can also be a side effect of certain medications, such as diuretics. Clinically, nocturia is assessed by the frequency of nighttime urination, which can vary from one episode to multiple times per night. Patients may report associated symptoms such as urgency, frequency during the day, or incontinence. Laboratory findings may include urinalysis to rule out infections or diabetes, and blood tests may be conducted to assess kidney function and blood glucose levels. Understanding the underlying cause of nocturia is essential for effective management and treatment.
Detailed patient history, including fluid intake, medication review, and associated symptoms.
Patients presenting with nocturia due to diabetes, heart failure, or medication side effects.
Consider comorbid conditions that may exacerbate nocturia, such as obesity or sleep apnea.
Acute assessment of nocturia in the context of other presenting symptoms, such as abdominal pain or acute kidney injury.
Patients presenting with acute urinary retention or severe dehydration.
Rapid evaluation of potential life-threatening causes of nocturia, such as acute renal failure.
Used when evaluating a patient with nocturia in an outpatient setting.
Document the patient's history, review of systems, and any relevant examinations.
Internal medicine may require more detailed documentation of comorbidities.
Nocturia can be caused by various factors, including excessive fluid intake, urinary tract infections, diabetes, and heart failure. Identifying the underlying cause is essential for effective management.
