Other and unspecified symptoms and signs involving the genitourinary system
In Symptoms and signs involving the genitourinary system (R30-R39), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
21 billable codes under R39: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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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 R39
R39 can't be used on a claim. Pick a billable code below; grey headings group them.
- 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
R39 MS-DRGs
As the principal diagnosis, the billable codes under R39 group to MS-DRG 695, 696, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 695 Kidney and Urinary Tract Signs and Symptoms with MCC (21 of 21 codes)
- DRG 696 Kidney and Urinary Tract Signs and Symptoms without MCC (21 of 21 codes)
- DRG 791 Prematurity with Major Problems (1 of 21 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 21 codes)
Other codes that refer to R39
Notes on these codes point to 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.
Urine 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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.