2024 ICD-10-CM Diagnosis Code R39.14

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Finding of bladder emptying
• Finding of sensation of bladder
• Finding of sensation of bladder
• Finding of sensation of bladder
• Incomplete emptying of bladder
• Persistent abdominal sensation after micturition
• Persistent perineal sensation after micturition
• Sensation
• Sensation
• Sensation
• Sensation as if bladder still full
• Vesical tenesmus
• Vesical tenesmus
• Vesical tenesmus

Clinical Information

• Globus Sensation

  a feeling of a lump in the throat that occurs between meals in the absence of other gastrointestinal and motility disorders (e.g., dysphagia; gastroesophageal reflux).

• Hyperalgesia

  an increased sensation of pain or discomfort produced by minimally noxious stimuli due to damage to soft tissue containing nociceptors or injury to a peripheral nerve.

• Hyperesthesia

  increased sensitivity to cutaneous stimulation due to a diminished threshold or an increased response to stimuli.

• Hypesthesia

  absent or reduced sensitivity to cutaneous stimulation.

• Phantom Limb

  perception of painful and nonpainful phantom sensations that occur following the complete or partial loss of a limb. the majority of individuals with an amputated extremity will experience the impression that the limb is still present, and in many cases, painful. (from neurol clin 1998 nov;16(4):919-36; brain 1998 sep;121(pt 9):1603-30)

• Sensation

  the process in which specialized sensory receptor cells transduce peripheral stimuli (physical or chemical) into nerve impulses which are then transmitted to the various sensory centers in the central nervous system.

• Sensation Disorders

  disorders of the special senses (i.e., vision; hearing; taste; and smell) or somatosensory system (i.e., afferent components of the peripheral nervous system).

• Somatosensory Disorders

  disorders of sensory information received from superficial and deep regions of the body. the somatosensory system conveys neural impulses which pertain to proprioception, tactile sensation, thermal sensation, pressure sensation, and pain. peripheral nervous system diseases; spinal cord diseases; and brain diseases may be associated with impaired or abnormal somatic sensation.

• Vertigo

  an illusion of movement, either of the external world revolving around the individual or of the individual revolving in space. vertigo may be associated with disorders of the inner ear (ear, inner); vestibular nerve; brainstem; or cerebral cortex. lesions in the temporal lobe and parietal lobe may be associated with focal seizures that may feature vertigo as an ictal manifestation. (from adams et al., principles of neurology, 6th ed, pp300-1)

• Nociceptors

  peripheral afferent neurons which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. their cell bodies reside in the dorsal root ganglia. their peripheral terminals (nerve endings) innervate target tissues and transduce noxious stimuli via axons to the central nervous system.

R39.14 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert R39.14 to ICD-9-CM

• ICD-9-CM Code: 788.21 - Incmplet bldder emptying
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Urine and Urination

Your kidneys make urine by filtering wastes and extra water from your blood. The waste is called urea. Your blood carries it to the kidneys. From the kidneys, urine travels down two thin tubes called ureters to the bladder. The bladder stores urine until you are ready to urinate. It swells into a round shape when it is full and gets smaller when empty. If your urinary system is healthy, your bladder can hold up to 16 ounces (2 cups) of urine comfortably for 2 to 5 hours.

You may have problems with urination if you have:

• Kidney failure
• Urinary tract infections
• An enlarged prostate
• Bladder control problems like incontinence, overactive bladder, or interstitial cystitis
• A blockage that prevents you from emptying your bladder

Some conditions may also cause you to have blood or protein in your urine. If you have a urinary problem, see your health care provider. Urinalysis and other urine tests can help to diagnose the problem. Treatment depends on the cause.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.