2025 ICD-10-CM code R30
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms and signs involving the genitourinary system - Pain associated with micturition Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Pain associated with urination.
No modifiers are typically applicable to R30.
Medical necessity for coding R30 is established by the patient's documented symptom of pain with urination.The code's application is contingent on the absence of a more specific and clearly identifiable diagnosis.
The clinical responsibility for coding R30 lies with the physician or healthcare provider who documents the patient's symptoms and conducts any necessary investigations to determine the underlying cause.If a definitive cause is found, that cause should be coded instead of R30.
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R30-R39 (Symptoms and signs involving the urinary system)
In simple words: This code means pain when you pee.Doctors use it when they can't figure out exactly why the pain is happening.
R30 is an ICD-10-CM code that represents pain experienced during urination.This encompasses various intensities and etiologies of this symptom. It is crucial to differentiate R30 from more specific diagnoses, which should be coded instead if identified.The code applies to instances where the underlying cause of the pain is undetermined or unspecifiable after investigation.This code should be used only if the pain during urination is the primary finding and no definitive underlying diagnosis exists.
Example 1: A patient presents with complaints of burning pain during urination without other noticeable symptoms.Physical examination and urinalysis are non-contributory. R30 is the appropriate code., A patient with a history of recurrent urinary tract infections presents with dysuria.While a UTI is suspected, the laboratory results are pending.Until the UTI is confirmed, R30 can be used., An elderly patient reports pain on urination but is unable to provide further information, nor has any underlying cause found following a physical examination.In the absence of other findings and given the lack of diagnostic clarity, R30 is used.
Detailed documentation of the patient's complaint of pain during urination, including the onset, duration, intensity, and any associated symptoms.Documentation of the physical examination findings, laboratory results (if any), and the provider's assessment are necessary. If a specific diagnosis is identified, that diagnosis should be clearly documented.
** The term "dysuria" is often used interchangeably with R30.R30 is a symptom code and should not be used if a more specific diagnosis is established. Accurate coding requires thorough clinical documentation to support the use of this code.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Urology, Family Medicine, Internal Medicine
- Place of Service:Office, Clinic, Emergency Room, Hospital Inpatient, Hospital Outpatient