ICD-10 Coding for Interstitial Cystitis(N30.10, N30.11)
Complete ICD-10-CM coding and documentation guide for Interstitial Cystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Interstitial Cystitis
N30.10-N30.11Primary Range
Interstitial cystitis (chronic) with or without hematuria
These codes specifically address interstitial cystitis, distinguishing between cases with and without hematuria.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N30.10 | Interstitial cystitis (chronic) without hematuria | Use when interstitial cystitis is diagnosed without any evidence of hematuria. |
|
| N30.11 | Interstitial cystitis (chronic) with hematuria | Use when interstitial cystitis is diagnosed with documented hematuria. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for interstitial cystitis
Essential facts and insights about Interstitial Cystitis
Primary ICD-10-CM Codes for interstitial cystitis
Decision Criteria
clinical Criteria
- No hematuria present in urinalysis
Applicable To
- Chronic pelvic pain without hematuria
Excludes
- Acute cystitis (N30.0)
Clinical Validation Requirements
- Negative urine culture
- Cystoscopy findings such as glomerulations or Hunner's ulcers
- Symptom duration >6 weeks
Code-Specific Risks
- Misclassification if hematuria is present but not documented
Coding Notes
- Ensure documentation clearly states absence of hematuria.
N30.11 - Interstitial cystitis (chronic) with hematuria
Use when interstitial cystitis is diagnosed with documented hematuria.
Applicable To
- Chronic pelvic pain with hematuria
Excludes
- Acute cystitis with hematuria (N30.01)
Clinical Validation Requirements
- Urinalysis showing hematuria
- Cystoscopy findings such as Hunner's ulcers
Coding Notes
Documentation must confirm hematuria through lab results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Interstitial Cystitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.10.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Use specific terms like 'Hunner's ulcers' or 'glomerulations', Document urinalysis results
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure hematuria status is clearly documented in the medical record.
Impact
Failure to document hematuria can lead to incorrect coding.
Mitigation Strategy
Ensure urinalysis results are included in the medical record.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Interstitial Cystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Interstitial Cystitis
Use these documentation templates to ensure complete and accurate documentation for Interstitial Cystitis. These templates include all required elements for proper coding and billing.
Chronic pelvic pain with cystoscopy findings
Specialty: UrologyRequired Elements
- Symptom description
- Cystoscopy results
- Urinalysis findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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