ICD-10 Code for Urinary Retention Requiring Intermittent Catheterization
The appropriate ICD-10 code for a patient who uses a catheter three times a day for urinary retention is R33.8 (Other retention of urine).
Coding Rationale
The coding for this clinical scenario requires understanding the specific condition being treated:
- R33.8 (Other retention of urine) is the most appropriate code for patients requiring intermittent catheterization for urinary retention 1
- This code captures the underlying condition (urinary retention) that necessitates the intermittent catheterization
Alternative Codes to Consider
In certain clinical contexts, you might need to consider these related codes:
- R33.0 (Drug-induced urinary retention) - If the retention is specifically caused by medications 2
- R33.9 (Retention of urine, unspecified) - If the specific type of retention is not documented
- N13.8 (Other obstructive and reflux uropathy) - If the retention is due to obstructive uropathy
Clinical Context
Intermittent catheterization is a common management strategy for urinary retention and is recommended in several clinical scenarios:
- Preferred over indwelling catheters for long-term management of urinary retention 1
- Recommended for patients with refractory urinary retention who are not surgical candidates 1
- Indicated when post-void residual (PVR) volume is consistently >100 mL 1
Frequency of Catheterization
The frequency of three times daily is consistent with clinical guidelines:
- For urinary retention management, scheduled intermittent catheterization is typically recommended every 4-6 hours 1
- The frequency of three times daily falls within this recommended range
Documentation Requirements
To support the R33.8 code, ensure documentation includes:
- Confirmed diagnosis of urinary retention
- Indication for intermittent catheterization
- Frequency of catheterization (three times daily)
- Any underlying cause of the retention if known (e.g., BPH, neurogenic bladder)
Clinical Considerations
When managing patients with urinary retention requiring intermittent catheterization:
- Clean non-coated catheters (reused) are most cost-effective according to systematic reviews 1
- However, hydrophilic or gel reservoir catheters may be offered as alternatives based on patient preference 1
- Daily evaluation of the continued need for catheterization is recommended 1
- For men with urinary retention due to BPH, consider concomitant alpha-blocker therapy 1
Remember that early removal of catheters when no longer needed reduces the risk of catheter-associated urinary tract infections (CAUTIs) 1.