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2025 ICD-10-CM code N30.1

Interstitial cystitis (chronic).

Appropriate documentation is essential for accurate coding and reimbursement.The diagnosis should be clearly documented in the medical record.Any associated symptoms or complications should also be coded.

Modifiers may be applicable depending on the specific circumstances of the encounter. Consult the appropriate modifier guidelines for more information.

Medical necessity for the diagnosis and treatment of interstitial cystitis is established by the presence of chronic pelvic pain and/or lower urinary tract symptoms (LUTS) consistent with IC.The diagnosis should be supported by a thorough history, physical examination, and appropriate diagnostic testing to rule out other potential causes.Treatment plans should be individualized based on the severity of symptoms and the patient’s response to therapies.

Diagnosis and management of interstitial cystitis often involves urologists or other specialists experienced in managing chronic pelvic pain.Treatment may involve medication, physical therapy, dietary changes, or other therapies to manage symptoms.Regular monitoring and patient education are crucial aspects of care.

IMPORTANT:Use additional code to identify infectious agent (B95-B97) if applicable.Excludes1: prostatocystitis (N41.3).

In simple words: Interstitial cystitis is a long-term bladder problem causing pain and inflammation even without a urinary tract infection.Symptoms include pain in the pelvic area, needing to urinate often and urgently, and sometimes blood in the urine.

Interstitial cystitis (IC) is a chronic condition characterized by bladder pain and inflammation without a bacterial infection.Symptoms include pelvic pain, urinary frequency and urgency, and sometimes, hematuria (blood in the urine). The exact cause is unknown, but it's believed to involve abnormalities in the bladder wall and potentially immune system dysfunction.

Example 1: A 45-year-old female presents with chronic pelvic pain, urinary frequency (urinating more than 8 times a day), and urgency (sudden, intense urge to urinate).She denies fever or other systemic symptoms.A physical exam and urinalysis are unremarkable except for trace hematuria.Cystoscopy is considered to rule out other conditions, confirming the diagnosis of interstitial cystitis., A 30-year-old female reports persistent bladder pain for several months, worsened by filling and relieved by emptying her bladder.She describes urinary frequency and urgency, but denies dysuria (painful urination).Urinalysis shows no infection.Interstitial cystitis is suspected, and further investigations are conducted, including a cystoscopy with hydrodistension., A 60-year-old male complains of persistent suprapubic pain and urinary frequency.He has tried multiple treatments, including antibiotics and antispasmodics, without relief.Physical examination is non-contributory.Given the chronic nature of his symptoms, and the absence of infection, interstitial cystitis is considered as a possible diagnosis and referred to urology for further evaluation.

Detailed history of symptoms, including onset, duration, frequency, severity, and any associated symptoms (e.g., pain characteristics, frequency of urination, nocturia).Results of physical exam.Urinalysis to rule out urinary tract infections.Cystoscopy findings (if performed).Results of any other diagnostic tests (e.g., urodynamic studies).Response to treatment.Clinical notes documenting the patient’s presentation, the diagnostic process, and the plan of care.

** The diagnosis of interstitial cystitis is often challenging due to its clinical presentation and lack of a definitive diagnostic test.Careful clinical judgment is required, and the possibility of co-morbidities or other conditions should be considered.

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