2025 ICD-10-CM code N30.80
Other cystitis without hematuria.
Medical necessity is established by the presence of signs and symptoms consistent with cystitis.The documentation should clearly indicate the clinical rationale for the diagnosis and any associated treatment provided. If the cystitis is related to medication use or exposure to irritants, this should be documented.
Diagnosis and treatment of cystitis fall under the purview of physicians specializing in urology, nephrology, or primary care.Clinical responsibility includes thorough patient history, physical examination, urinalysis, and further investigations like cystoscopy or imaging if indicated.Managing the patient's symptoms, prescribing appropriate medications (e.g., antibiotics, pain relievers), and patient education are also part of the clinical responsibilities.
In simple words: This code indicates bladder inflammation or irritation, but without visible blood in the urine.It's used when the inflammation isn't due to a common infection, long-term condition, radiation treatment, or a specific part of the bladder being affected.
This code represents other forms of cystitis not otherwise specified, explicitly excluding those with hematuria (blood in the urine).It encompasses various types of bladder inflammation not classified under acute, interstitial, chronic, or irradiation cystitis.This code is distinct from trigonitis, a specific inflammation of the trigone area of the bladder.It also excludes prostatocystitis where the prostate gland is involved.An additional code should be used to specify any infectious agent if identified (B95-B97).
Example 1: A 30-year-old female presents with urinary frequency, urgency, and dysuria (painful urination) but no visible blood in her urine.Urine culture is negative for common bacterial infections.Other causes of cystitis, like interstitial cystitis or radiation exposure, have been ruled out. N30.80 is appropriate., A male patient experiences bladder discomfort and increased urination following a course of certain medications known to irritate the bladder.Urinalysis shows no blood or signs of infection.Other types of cystitis are excluded. N30.80 can be used., A patient with a history of using irritating hygiene products develops bladder symptoms, including increased urination and discomfort.No blood in the urine is observed, and other forms of cystitis are ruled out. N30.80 would apply.
Documentation should include the patient's presenting symptoms (e.g., frequency, urgency, dysuria, pelvic pain), findings from the physical examination, urinalysis results (including the absence of hematuria), and any other diagnostic tests performed (e.g., urine culture, cystoscopy, imaging).Documentation of ruled-out diagnoses, such as interstitial cystitis or radiation cystitis, is also essential for accurate coding.
- Payment Status: Active
- Specialties:Urology, Nephrology, Family Medicine, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Independent Clinic