Other and unspecified symptoms and signs involving the genitourinary system (R39) ICD-10-CM
The R39 code range covers other and unspecified symptoms and signs involving the genitourinary system with 26 ICD-10-CM diagnosis codes. 21 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Codes in the R39 Range 26 codes · 21 billable
- R39 Other and unspecified symptoms and signs involving the genitourinary systemNon-billable
- R39.0 Extravasation of urine
- R39.1 Other difficulties with micturitionNon-billable
- 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 micturitionNon-billable
- 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 systemNon-billable
- R39.81 Functional urinary incontinence
- R39.82 Chronic bladder pain
- R39.83 Unilateral non-palpable testicle
- R39.84 Bilateral non-palpable testicles
- R39.85 Costovertebral (angle) tendernessNon-billable
- R39.851 Costovertebral (angle) tenderness, right side New
- R39.852 Costovertebral (angle) tenderness, left side New
- R39.853 Costovertebral (angle) tenderness, bilateral New
- R39.859 Costovertebral (angle) tenderness, unspecified side New
- R39.89 Other symptoms and signs involving the genitourinary system
- R39.9 Unspecified symptoms and signs involving the genitourinary system
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the R39 range.
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)
About the R39 Code Range
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.
Questions About This Page
How many billable codes are in the R39 range?
Of the 26 codes in this range, 21 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the R39 range classify?
The range classifies other and unspecified symptoms and signs involving the genitourinary system. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
