Other and unspecified symptoms and signs involving the genitourinary system (R39)
The ICD-10 code section R39 covers a variety of other and unspecified symptoms and signs involving the genitourinary system. It includes specific codes used for different urinary and genitourinary symptoms not classified elsewhere, such as difficulties with urination, urinary extravasation, and bladder-related issues.
This section encompasses codes like R39.0 for extravasation of urine, which describes urine escaping from the kidney, ureter, bladder, or urethra, sometimes known as urinary leakage or rupture. Codes R39.11 through R39.16 relate to various difficulties with micturition, including urinary hesitancy, poor urinary stream, splitting of the urinary stream, feeling of incomplete bladder emptying, urgency of urination, and straining to void, addressing symptoms often linked to benign prostatic hypertrophy or other urinary tract conditions. Additional codes such as R39.81 identify functional urinary incontinence, while R39.82 refers to chronic bladder pain. The code R39.89 captures other genitourinary symptoms like genitourinary pain, abnormal erections, or urinary tract pain. Lastly, R39.9 is used for unspecified genitourinary signs and symptoms, including general urinary symptom changes and lower urinary tract symptoms. These codes help healthcare providers accurately describe and classify a broad spectrum of genitourinary symptoms when a more specific diagnosis is not available.
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
Symptoms and signs involving the genitourinary system (R30-R39)
R39 Other and unspecified symptoms and signs involving the genitourinary system
- R39.0 Extravasation of urine
R39.1 Other difficulties with micturition
- R39.11 Hesitancy of micturition
- R39.12 Poor urinary stream
- R39.13 Splitting of urinary stream
- R39.14 Feeling of incomplete bladder emptying
- R39.15 Urgency of urination
- R39.16 Straining to void
R39.19 Other difficulties with micturition
- R39.191 Need to immediately re-void
- R39.192 Position dependent micturition
- R39.198 Other difficulties with micturition
- R39.2 Extrarenal uremia
R39.8 Other symptoms and signs involving the genitourinary system
- R39.81 Functional urinary incontinence
- R39.82 Chronic bladder pain
- R39.83 Unilateral non-palpable testicle
- R39.84 Bilateral non-palpable testicles
- R39.89 Other symptoms and signs involving the genitourinary system
- R39.9 Unspecified symptoms and signs involving the genitourinary system
Other and unspecified symptoms and signs involving the genitourinary system (R39)
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
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.
Lower Urinary Tract Symptoms
Symptoms of disorders of the lower urinary tract including frequency, NOCTURIA; urgency, incomplete voiding, and URINARY INCONTINENCE. They are often associated with OVERACTIVE BLADDER; URINARY INCOMPETENCE; and INTERSTITIAL CYSTITIS. Lower urinary tract symptoms in males were traditionally called PROSTATISM.
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.
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)
