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ICD-9 vs. 10: incomplete bladder emptying

Leah Posted Mon 12th of October, 2015 11:35:52 AM

Hello,

Guidance needed:
My provider group does not agree with the wording for ICD-10 regarding 788.21 (now R39.14), incomplete bladder emptying. The new definition, "FEELING OF incomplete bladder emptying" is throwing them off. They do not feel that is accurate, since the patient does not always "feel" that their bladder empties or not. Per one provider :""Incomplete emptying" is an objective finding, not a subjective sensation."
Please advise on this code selection.
Thank you,
Leah
CPC, CUC

SuperCoder Answered Tue 13th of October, 2015 05:28:41 AM

Well, I agree with the provider clinically, having said that, provider is thinking in clinical manner, but not according to coding perspective. It is not necessary that every time you have to code R39.14 for bladder empting as there is only one code in ICD-9 code i.e. 788.21. Now there is diverse range of these codes i.e. R39.11-R39.19. So, choose the code accordingly to the patient condition without keeping ICD 9 in mind. Hope it clear your doubt!

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