ICD Code R35.0

ICD code R35.0 is used to indicate a condition characterized by an increased frequency of urination. This code is typically used in medical documentation to specify that a patient is experiencing the need to urinate more often than usual, which can be a symptom of various underlying health issues such as urinary tract infections, diabetes, or other urological conditions. Proper coding of this condition is crucial for accurate billing and insurance claims processing within the healthcare revenue cycle.

When considering the use of the ICD code for frequency of micturition, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Increased Urinary Frequency: The patient reports an increased need to urinate more often than usual, which may be both during the day and night.

2. Absence of Urinary Tract Infection (UTI): Diagnostic tests, such as urinalysis, rule out the presence of a urinary tract infection, which could otherwise explain the increased frequency.

3. Nocturia: The patient experiences the need to wake up multiple times during the night to urinate, disrupting sleep patterns.

4. Normal or Increased Urine Volume: The patient may produce a normal or increased volume of urine, indicating that the frequency is not due to reduced bladder capacity.

5. Absence of Polyuria: The condition is not characterized by an excessive production of urine, which would suggest a different underlying issue such as diabetes insipidus or uncontrolled diabetes mellitus.

6. No Significant Pain or Discomfort: The patient does not report significant pain or discomfort during urination, which could indicate other conditions such as interstitial cystitis or bladder stones.

7. Exclusion of Neurological Causes: Neurological evaluations do not indicate underlying conditions such as multiple sclerosis or spinal cord injuries that could affect bladder function.

8. Lifestyle Factors: Consideration of lifestyle factors such as high fluid intake, caffeine consumption, or diuretic use that may contribute to increased frequency.

9. Patient History: A thorough patient history does not reveal recent changes in medication or new health conditions that could explain the symptom.

10. Absence of Prostate Issues: In male patients, prostate examinations do not indicate enlargement or other prostate-related issues that could cause urinary frequency.

By systematically evaluating these criteria, healthcare providers can accurately determine when to use the ICD code for frequency of micturition, ensuring precise documentation and effective patient management.

For the ICD code R35.0, which pertains to frequency of micturition, the relevant CPT codes that may be applicable include:

1. 51741 - Complex uroflowmetry (e.g., calibrated electronic equipment).

2. 51798 - Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging.

3. 52000 - Cystourethroscopy (separate procedure).

4. 99201-99215 - Evaluation and Management (E/M) codes for office or other outpatient visits, depending on the level of service provided.

These CPT codes are often used in conjunction with the ICD code R35.0 to document and bill for the evaluation and management of urinary frequency. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the patient encounter.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code R35.0. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.