2025 ICD-10-CM code N32.81
(Active) Effective Date: N/A Revision Date: N/A Urology - Other diseases of the urinary system Diseases of the genitourinary system Feed
Overactive bladder, characterized by urinary urgency and frequency.
Modifiers may be applicable depending on the circumstances of the visit and services provided (e.g., location of service, type of visit). Consult the current CPT and ICD-10 guidelines for appropriate modifier use.
Medical necessity for the diagnosis and management of overactive bladder is established by the presence of bothersome symptoms significantly affecting the patient's quality of life.Documentation supporting the clinical indication for treatment is crucial for reimbursement.
Diagnosis and management of overactive bladder typically involves a urologist or other healthcare professional specializing in urinary tract issues.Treatment may include lifestyle changes, medication, or in some cases, surgery.
In simple words: Overactive bladder means you have a strong, sudden urge to urinate frequently, even if your bladder isn't actually full.This can happen during the day, night, or both, and you might or might not leak urine.
Overactive bladder (OAB) is a condition defined by urinary urgency, often accompanied by urinary frequency and nocturia (frequent nighttime urination).It is a symptom of detrusor overactivity, where the bladder muscle contracts with abnormally high frequency and urgency.Urinary incontinence may or may not be present.The condition can significantly impact a patient's quality of life.
Example 1: A 60-year-old female patient presents with complaints of urinary urgency, frequency (voiding more than 8 times a day), and nocturia (waking up more than once at night to urinate).She denies incontinence.A physical exam reveals no abnormalities. Urinalysis shows no infection.Diagnosis: Overactive bladder (N32.81)., A 45-year-old male patient experiences urinary urgency and frequency, along with stress incontinence (urine leakage with coughing or exertion).He has a history of benign prostatic hyperplasia (BPH).Diagnosis: Overactive bladder (N32.81) with stress incontinence (N39.3)., A 72-year-old female patient with a history of stroke reports urinary incontinence and urgency. Neurological exam shows signs of neurogenic bladder.Diagnosis: Overactive bladder (N32.81) due to neurogenic bladder (N31.9).
Detailed history of urinary symptoms (frequency, urgency, nocturia, incontinence), physical examination findings, urinalysis results (to rule out infection), and possibly urodynamic studies (to assess bladder function) are necessary for accurate coding.Any medication use or other relevant medical history should be documented.
** Overactive bladder is a common condition, and accurate coding requires careful documentation of the patient's symptoms, physical exam findings, and any associated conditions.The use of additional codes may be necessary to fully reflect the complexity of the patient's case.Always consult the most current coding guidelines for the most up-to-date information.
- Payment Status: Active
- Specialties:Urology, Family Medicine, Internal Medicine, Geriatrics
- Place of Service:Office, Hospital (Inpatient or Outpatient), Nursing Facility, Other