2025 ICD-10-CM code N30.90
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the urinary system - Other cystitis Diseases of the genitourinary system (N00-N99) Feed
Cystitis, unspecified, without hematuria.
Modifiers may be applicable depending on the specific circumstances of the encounter.Consult the appropriate guidelines for modifier usage.
The medical necessity for coding N30.90 is established by the presence of symptoms and/or signs consistent with cystitis.Documentation of clinical findings supporting the diagnosis is crucial. The absence of more specific diagnostic information supports the use of this unspecified code.
Diagnosis and management of cystitis.This may involve obtaining a detailed medical history, performing a physical examination, ordering and interpreting laboratory tests (urinalysis, urine culture), and prescribing appropriate treatment, such as antibiotics or other medications.
In simple words: This code describes inflammation of the bladder without blood in the urine.The doctor doesn't know the exact type of bladder infection.
This ICD-10-CM code classifies unspecified cystitis without the presence of blood in the urine (hematuria).It is used when a more specific type of cystitis cannot be determined.The code is inclusive of both acute and chronic cystitis when the specifics are unknown. Additional codes may be necessary to specify the infectious agent involved.
Example 1: A 30-year-old female presents to the clinic with symptoms of frequent urination, urgency, and dysuria. Urinalysis reveals pyuria and bacteriuria, but the specific organism is not yet identified. The physician codes this encounter with N30.90 pending culture results., A 65-year-old male with a history of benign prostatic hyperplasia reports similar urinary symptoms as the above. However, the urinalysis is negative for infection, and the physician suspects non-infectious chronic cystitis. N30.90 is used to code this diagnosis. Further testing may be indicated to rule out other conditions., A patient presents to the emergency room complaining of urinary symptoms. A urinalysis is performed, which is positive for leukocytes and nitrites, suggesting a urinary tract infection.However, there is no evidence of blood in the urine.The attending physician documents a diagnosis of cystitis. Because the specific cause or type of cystitis is unknown, the physician uses N30.90, pending further test results.
Detailed patient history including symptoms (frequency, urgency, dysuria, etc.), physical examination findings, results of urinalysis (including microscopy and culture), and any other relevant diagnostic tests (e.g., imaging studies). Treatment plan and response to therapy should also be documented.
** This code should be used only when a more specific type of cystitis cannot be determined based on available clinical information.The use of this code is subject to payer-specific guidelines and requirements.Always ensure compliance with all relevant medical coding standards and guidelines.
- Payment Status: Active
- Specialties:Urology, Family Medicine, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Emergency Room, Urgent Care Facility