Need to immediately re-void
ICD-10 R39.191 is a billable code used to indicate a diagnosis of need to immediately re-void.
The ICD-10 code R39.191 is used to describe the symptom of an urgent need to void, which may be indicative of various underlying conditions affecting the urinary system. Patients may experience a sudden and intense urge to urinate, often accompanied by discomfort or anxiety. This symptom can arise from a variety of causes, including urinary tract infections (UTIs), bladder irritability, neurological disorders, or prostate issues in men. The urgency may lead to involuntary leakage if the patient is unable to reach a restroom in time. Clinicians should assess the patient's history, including any recent urinary symptoms, medications, and comorbidities, to determine the underlying cause. Laboratory tests such as urinalysis, urine culture, and imaging studies may be warranted to rule out infections or structural abnormalities. Accurate documentation of the patient's symptoms, duration, and associated factors is crucial for proper coding and treatment planning.
Detailed patient history, including urinary symptoms, comorbidities, and medication review.
Patients presenting with recurrent UTIs, benign prostatic hyperplasia, or overactive bladder.
Consideration of chronic conditions that may contribute to urgency, such as diabetes or neurological disorders.
Acute assessment of urinary urgency, including vital signs and immediate lab tests.
Patients presenting with acute urinary retention or severe urinary tract infections.
Rapid evaluation of potential complications, such as sepsis or renal impairment.
Used when a patient presents with acute urinary retention and urgency.
Document the reason for catheterization and any associated symptoms.
In emergency settings, rapid assessment and intervention are critical.
Document the patient's reported symptoms, the urgency of the need to void, any associated discomfort, and any relevant medical history or findings that may contribute to the urgency.
