2023

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  2. R00-R99
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  5. 2023 ICD-10-CM Diagnosis Code R39.16

2023 ICD-10-CM Diagnosis Code R39.16

Straining to void

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • R39.16 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM R39.16 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R39.16 - other international versions of ICD-10 R39.16 may differ.
The following code(s) above R39.16 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R39.16:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R39.1
    ICD-10-CM Diagnosis Code R39.1

    Other difficulties with micturition

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • , if applicable, any causal condition, such as:
    • enlarged prostate (N40.1)
    Other difficulties with micturition
Approximate Synonyms
  • Benign prostatic hypertrophy (enlarged prostate)
  • Must strain to pass urine
  • Straining on urination
  • Straining on urination due to benign prostatic hypertrophy
ICD-10-CM R39.16 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 695 Kidney and urinary tract signs and symptoms with mcc
  • 696 Kidney and urinary tract signs and symptoms without mcc

Convert R39.16 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to R39.16:
  • Use Additional: N40.1
    , N40.3
    ICD-10-CM Diagnosis Code N40.1

    Benign prostatic hyperplasia with lower urinary tract symptoms

      2016 2017 - Revised Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) Male Dx
    Applicable To
    • Enlarged prostate with LUTS
    Use Additional
    • code for associated symptoms, when specified:
    • incomplete bladder emptying (R39.14)
    • nocturia (R35.1)
    • straining on urination (R39.16)
    • urinary frequency (R35.0)
    • urinary hesitancy (R39.11)
    • urinary incontinence (N39.4-)
    • urinary obstruction (N13.8)
    • urinary retention (R33.8)
    • urinary urgency (R39.15)
    • weak urinary stream (R39.12)
    ICD-10-CM Diagnosis Code N40.3

    Nodular prostate with lower urinary tract symptoms

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) Male Dx
    Use Additional
    • code for associated symptoms, when specified:
    • incomplete bladder emptying (R39.14)
    • nocturia (R35.1)
    • straining on urination (R39.16)
    • urinary frequency (R35.0)
    • urinary hesitancy (R39.11)
    • urinary incontinence (N39.4-)
    • urinary obstruction (N13.8)
    • urinary retention (R33.8)
    • urinary urgency (R39.15)
    • weak urinary stream (R39.12)

Diagnosis Index entries containing back-references to R39.16:
  • Disorder (of) - see also Disease
    • micturition NEC R39.198
      - see also Difficulty, micturition
      ICD-10-CM Diagnosis Code R39.198

      Other difficulties with micturition

        2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • straining R39.16
  • Micturition
    • straining R39.16
  • Straining, on urination R39.16

ICD-10-CM Codes Adjacent To R39.16
R36.9 Urethral discharge, unspecified
R37 Sexual dysfunction, unspecified
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

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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