2025 ICD-10-CM code R39.15
Urgency of urination.
Medical necessity for the evaluation and management of urinary urgency is established by the patient's symptoms and their impact on their quality of life.Further investigation and treatment are medically necessary when the urgency is frequent, severe, disruptive, or associated with other concerning symptoms.
The physician's responsibility includes a thorough evaluation of the patient's symptoms, including the duration, frequency, and severity of the urgency.A detailed history and physical exam are essential, along with appropriate diagnostic testing to identify the underlying cause of the urgency.Treatment will depend on the identified cause and may include medication, behavioral modifications, or other interventions.
In simple words: This code indicates a sudden and frequent need to urinate.
This code represents a patient's frequent or sudden urge to urinate, often with little warning.It is a symptom, not a diagnosis, and may be associated with various underlying conditions.
Example 1: A 65-year-old male presents with a sudden and compelling urge to urinate frequently, day and night. After examination and testing, he is diagnosed with benign prostatic hyperplasia (BPH). The R39.15 code is used to document the urgency symptom, while the N40.1 code documents the BPH diagnosis., A 30-year-old female experiences a persistent, urgent need to urinate, accompanied by burning and pain.A urinalysis confirms a urinary tract infection (UTI).R39.15 is used alongside the appropriate UTI code (e.g., N30.00 for acute cystitis without hematuria)., A patient with a known history of overactive bladder reports increased episodes of urinary urgency. R39.15 is used to document this symptom during the current encounter, along with the established diagnosis code for overactive bladder (N32.81).
Documentation should include the frequency, severity, and duration of the urgency, along with associated symptoms like pain, burning, or incontinence.Results of any diagnostic tests (e.g., urinalysis, urine culture, post-void residual measurement) should also be included.The underlying cause of the urgency, if determined, should be clearly documented.
- Payment Status: Active
- Specialties:Urology, Family Medicine, Internal Medicine, Nephrology, Obstetrics and Gynecology (for female patients)
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Nursing Facility