DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R39 Other and unspecified symptoms and signs involving the genitourinary system

  • Header · not billable

R39 is not billable. The category heads 21 billable codes in FY2027, grouped under 5 subdivisions.

Index → code

  • Symptoms NECinvolvingurinary system → R39.9
  • Pneumaturia → R39.89
  • Urethralgia → R39.89

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R30-R39 Symptoms and signs involving the genitourinary system (R30-R39)
  3. R39 Other and unspecified symptoms and signs involving the genitourinary system
Billable codes
21
Subdivisions
5
CC / MCC codes
1 / 0
HCC V28 codes
0
New FY2027
0
Index entries
53

Codes in R39

  1. R39.0
    Extravasation of urine
    BillableCC
  2. R39.1
    Other difficulties with micturition
    Header
    Code first 2

    Code first

    • , if applicable, any causal condition, such as:
    • enlarged prostate (N40.1) N40.1
  3. R39.11
    Hesitancy of micturition
    Billable
  4. R39.12
    Poor urinary stream
    Billable
    Inclusion terms 1

    Inclusion terms

    • Weak urinary stream
  5. R39.13
    Splitting of urinary stream
    Billable
  6. R39.14
    Feeling of incomplete bladder emptying
    Billable
  7. R39.15
    Urgency of urination
    Billable
    Excludes1 1

    Excludes1

  8. R39.16
    Straining to void
    Billable
  9. R39.19
    Other difficulties with micturition
    Header
  10. R39.191
    Need to immediately re-void
    Billable
  11. R39.192
    Position dependent micturition
    Billable
  12. R39.198
    Other difficulties with micturition
    Billable
  13. R39.2
    Extrarenal uremia
    Billable
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Prerenal uremia

    Excludes1

    • uremia NOS (N19) N19
  14. R39.8
    Other symptoms and signs involving the genitourinary system
    Header
  15. R39.81
    Functional urinary incontinence
    Billable
    Inclusion terms 1, Excludes1 2

    Inclusion terms

    • Urinary incontinence due to cognitive impairment, or severe physical disability or immobility

    Excludes1

    • stress incontinence and other specified urinary incontinence (N39.3-N39.4-) N39.3 N39.4
    • urinary incontinence NOS (R32) R32
  16. R39.82
    Chronic bladder pain
    Billable
  17. R39.83
    Unilateral non-palpable testicle
    Billable
  18. R39.84
    Bilateral non-palpable testicles
    Billable
  19. R39.85
    Costovertebral (angle) tenderness
    Header
    Excludes2 1

    Excludes2

    • abdominal and pelvic pain (R10.-) R10
  20. R39.851
    Costovertebral (angle) tenderness, right side
    Billable
  21. R39.852
    Costovertebral (angle) tenderness, left side
    Billable
  22. R39.853
    Costovertebral (angle) tenderness, bilateral
    Billable
  23. R39.859
    Costovertebral (angle) tenderness, unspecified side
    Billable
  24. R39.89
    Other symptoms and signs involving the genitourinary system
    Billable
  25. R39.9
    Unspecified symptoms and signs involving the genitourinary system
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Straining, on urination → R39.16
  • Slowing, urinary stream → R39.198
  • Pneumaturia → R39.89
  • Urethralgia → R39.89
  • Extravasationurine (from ureter) → R39.0
  • Infiltrate, infiltrationurine → R39.0
  • Urineextravasation → R39.0
  • Hesitancyof micturition → R39.11
  • Hesitancyurinary → R39.11
  • Micturitionhesitancy → R39.11
  • Micturitionpoor stream → R39.12
  • Poorurinary stream → R39.12
  • Weak, weakening, weakness (generalized)urinary stream → R39.12
  • Micturitionsplit stream → R39.13
  • Split, splittingurinary stream → R39.13
  • Micturitionincomplete emptying → R39.14
  • Micturitionurgency → R39.15
  • Urgencyurinary → R39.15
  • Micturitionstraining → R39.16
  • Micturitionposition dependent → R39.192
  • Abnormal, abnormality, abnormalitiesurination NEC → R39.198
  • Disorder (of)micturition NEC → R39.198
  • Micturitiondisorder NEC → R39.198
  • Residualurine → R39.198
  • Urineintermittent stream → R39.198
  • Retentionnitrogen, extrarenal → R39.2
  • Uremia, uremicextrarenal → R39.2
  • Uremia, uremicprerenal → R39.2
  • Non-palpable testicle(s)unilateral → R39.83
  • Non-palpable testicle(s)bilateral → R39.84
  • Tenderness, abdominalcostovertebral (angle) → R39.859
  • Pain(s)bladder → R39.89
  • Pain(s)vesical → R39.89
  • Disorder (of)micturition NEChesitancy → R39.11
  • Disorder (of)micturition NECpoor stream → R39.12
  • Urinestreamweak → R39.12
  • Disorder (of)micturition NECsplit stream → R39.13
  • Urinestreamsplitting → R39.13
  • Disorder (of)micturition NECfeeling of incomplete emptying → R39.14
  • Disorder (of)micturition NECurgency → R39.15

13 more, longer entries are not listed; the search box finds them by word.

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