Incomplete Bladder Emptying ICD-10-CM Codes

What ICD-10 codes are used for incomplete bladder emptying?

The most accurate and commonly used ICD-10 code for incomplete bladder emptying is R39.14—feeling of incomplete bladder emptying. This code falls under the broader category of symptoms and signs involving the genitourinary system and is used to document unspecified symptoms and signs associated with the urinary bladder.

Healthcare providers use this code for coding, billing, and documentation purposes—but only after identifying a definitive diagnosis and assigning a principal diagnosis code. The code is beneficial when evaluating lower urinary tract symptoms (LUTS), such as those related to the urinary stream, urgency, and urine retention.

Is the incomplete bladder emptying ICD code billable?

Yes, R39.14 – Feeling of incomplete bladder emptying is a billable ICD-10 code. It is classified under other and unspecified symptoms and signs involving the genitourinary system. It is often associated with conditions such as enlarged prostate, urinary urgency, and abnormal clinical or laboratory findings related to urine flow and bladder function.

Clinical information

Incomplete bladder emptying, commonly linked with urinary retention, refers to the condition in which the bladder does not fully release urine during voiding. This condition can be either acute or chronic and affects the urinary tract and overall genitourinary system health.

Common symptoms

• Urinary urgency
• Nocturia (frequent urination at night)
• Weak urinary stream
• Frequent urination
• Pain or discomfort in the lower abdomen
• Difficulty initiating urination
• Bloating (especially in acute retention cases)

These are categorized under unspecified symptoms, particularly those involving the genitourinary system.

Causes

• Obstruction in the urinary bladder or lower urinary tract
• Side effects from medication
• Nerve damage or neurological dysfunction
• Inflammation, infection, or swelling
• Conditions like benign prostatic hyperplasia (BPH) or urethral strictures

Treatment options

• Medications (e.g., alpha-blockers)
• Use of catheters for urinary drainage
• Surgical procedures for blockage removal
• Lifestyle changes to improve bladder health

Synonyms include

• Incomplete emptying of the bladder
• Sensation as if bladder still full
• Signs/symptom of the urinary system
• Incomplete emptying of the bladder
• Urinary retention