Symptoms and signs involving the genitourinary system (R30-R39)
chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
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Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.
- Use of symptom codes (page 75)
- Use of a symptom code with a definitive diagnosis code (page 75)
- Combination codes that include symptoms (page 75)
- Repeated falls (page 76)
- Coma (page 76)
- Functional quadriplegia (page 76)
- SIRS due to Non-Infectious Process (page 77)
- Death NOS (page 77)
All codes under R30-R39
R30-R39 can't be used on a claim. Pick a billable code below; grey headings group them.
- R30Pain associated with micturition
- R30.0Dysuria
- R30.1Vesical tenesmus
- R30.9Painful micturition, unspecified
- R31Hematuria
- R31.0Gross hematuria
- R31.1Benign essential microscopic hematuria
- R31.2Other microscopic hematuria
- R31.21Asymptomatic microscopic hematuria
- R31.29Other microscopic hematuria
- R31.9Hematuria, unspecified
- R32Unspecified urinary incontinence
- R33Retention of urine
- R33.0Drug induced retention of urine
- R33.8Other retention of urine
- R33.9Retention of urine, unspecified
- R34Anuria and oliguria
- R35Polyuria
- R35.0Frequency of micturition
- R35.1Nocturia
- R35.8Other polyuria
- R35.81Nocturnal polyuria
- R35.89Other polyuria
- R36Urethral discharge
- R36.0Urethral discharge without blood
- R36.1Hematospermia
- R36.9Urethral discharge, unspecified
- R37Sexual dysfunction, unspecified
- R39Other and unspecified symptoms and signs involving the genitourinary system
- R39.0Extravasation of urine
- R39.1Other difficulties with micturition
- R39.11Hesitancy of micturition
- R39.12Poor urinary stream
- R39.13Splitting of urinary stream
- R39.14Feeling of incomplete bladder emptying
- R39.15Urgency of urination
- R39.16Straining to void
- R39.19Other difficulties with micturition
- R39.191Need to immediately re-void
- R39.192Position dependent micturition
- R39.198Other difficulties with micturition
- R39.2Extrarenal uremia
- R39.8Other symptoms and signs involving the genitourinary system
- R39.81Functional urinary incontinence
- R39.82Chronic bladder pain
- R39.83Unilateral non-palpable testicle
- R39.84Bilateral non-palpable testicles
- R39.85Costovertebral (angle) tenderness
- R39.851Costovertebral (angle) tenderness, right side
- R39.852Costovertebral (angle) tenderness, left side
- R39.853Costovertebral (angle) tenderness, bilateral
- R39.859Costovertebral (angle) tenderness, unspecified side
- R39.89Other symptoms and signs involving the genitourinary system
- R39.9Unspecified symptoms and signs involving the genitourinary system
R30-R39 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Other codes that refer to R30-R39
Notes on these codes point to R30-R39.
- R10-R19 Excludes2: signs and symptoms involving the urinary system (R30-R39)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Pain
Pain is a signal in your nervous system that something may be wrong. It is an unpleasant feeling, such as a prick, tingle, sting, burn, or ache. Each person feels pain differently, even if the reason for the pain is the same. Pain may be sharp or dull. It may be mild or severe. Pain may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen, chest, or pelvis, or you may feel it all over.
Read more about pain on MedlinePlusUrine and Urination
Your kidneys make urine by filtering wastes and extra water from your blood. The waste is called urea. Your blood carries it to the kidneys. From the kidneys, urine travels down two thin tubes called ureters to the bladder. The bladder stores urine until you are ready to urinate. It swells into a round shape when it is full and gets smaller when empty. If your urinary system is healthy, your bladder can hold up to 16 ounces (2 cups) of urine comfortably for 2 to 5 hours.
Read more about urine and urination on MedlinePlus