Introduction
ICD-10 codes are essential for urologists to accurately document patient diagnoses, streamline medical billing, and ensure proper insurance reimbursement. Urology practices deal with a wide range of conditions, including urinary tract infections (UTIs), kidney diseases, bladder disorders, prostate conditions, and male reproductive health issues.
To maintain compliance with medical billing regulations and avoid insurance claim denials, urology providers must use the correct ICD-10 codes. A cloud-based EHR like DocVilla simplifies urology coding, integrates billing automation, and enhances patient documentation workflows.
This guide provides a detailed list of common ICD-10 codes for urology, along with billing best practices and EHR integration tips.
1. Common ICD-10 Codes for Urinary Tract Conditions
A. Urinary Tract Infections (UTIs) and Related Conditions
- N39.0 – Urinary tract infection, site not specified
- N30.00 – Acute cystitis without hematuria
- N30.01 – Acute cystitis with hematuria
- N30.20 – Other chronic cystitis without hematuria
- N30.21 – Other chronic cystitis with hematuria
- N30.40 – Irradiation cystitis without hematuria
- N30.41 – Irradiation cystitis with hematuria
- N30.80 – Other cystitis without hematuria
- N30.81 – Other cystitis with hematuria
B. Urinary Retention and Incontinence
- R33.9 – Retention of urine, unspecified
- N39.3 – Stress incontinence (female) (male)
- N39.4 – Other specified urinary incontinence
- N39.46 – Mixed incontinence
2. Common ICD-10 Codes for Kidney and Bladder Disorders
A. Chronic Kidney Disease (CKD) and Renal Failure
- N18.1 – Chronic kidney disease, stage 1
- N18.2 – Chronic kidney disease, stage 2 (mild)
- N18.3 – Chronic kidney disease, stage 3 (moderate)
- N18.4 – Chronic kidney disease, stage 4 (severe)
- N18.5 – Chronic kidney disease, stage 5
- N18.6 – End-stage renal disease (ESRD)
- N19 – Unspecified kidney failure
B. Bladder Cancer and Neoplasms
- C67.0 – Malignant neoplasm of trigone of bladder
- C67.1 – Malignant neoplasm of dome of bladder
- C67.2 – Malignant neoplasm of lateral wall of bladder
- C67.3 – Malignant neoplasm of anterior wall of bladder
- C67.4 – Malignant neoplasm of posterior wall of bladder
- C67.5 – Malignant neoplasm of bladder neck
- C67.6 – Malignant neoplasm of ureteric orifice
3. Common ICD-10 Codes for Prostate and Male Reproductive Disorders
A. Prostate Conditions
- N40.0 – Benign prostatic hyperplasia without lower urinary tract symptoms
- N40.1 – Benign prostatic hyperplasia with lower urinary tract symptoms
- N41.0 – Acute prostatitis
- N41.1 – Chronic prostatitis
- N41.3 – Abscess of prostate
- C61 – Malignant neoplasm of prostate
B. Erectile Dysfunction and Testicular Disorders
- N52.01 – Erectile dysfunction due to arterial insufficiency
- N52.02 – Erectile dysfunction due to venous leakage
- N52.1 – Erectile dysfunction due to disease classified elsewhere
- N52.9 – Erectile dysfunction, unspecified
- N43.3 – Hydrocele, unspecified
- N44 – Torsion of testis
- C62.1 – Malignant neoplasm of descended testis
- C62.9 – Malignant neoplasm of testis, unspecified
4. Common ICD-10 Codes for Urolithiasis (Kidney and Bladder Stones)
- N20.0 – Calculus of kidney
- N20.1 – Calculus of ureter
- N20.2 – Calculus of kidney with calculus of ureter
- N21.0 – Calculus in bladder
- N21.1 – Calculus in urethra
5. Best Practices for Urology ICD-10 Coding and Billing
A. Automating ICD-10 Coding with AI-Powered EHR
A cloud-based EHR like DocVilla helps urology providers:
- Auto-suggest the most relevant ICD-10 codes
- Reduce manual documentation errors
- Improve accuracy in linking diagnosis codes with procedures
B. Claim Scrubbing and Billing Automation
With AI-driven claim validation, DocVilla ensures:
- Minimal claim denials due to incorrect ICD-10 coding
- Real-time compliance checks before claim submission
- Faster insurance reimbursements
C. Integrated Telemedicine and Remote Patient Monitoring (RPM)
As urology practices incorporate telehealth and remote patient monitoring, EHRs must:
- Support virtual visit coding (CPT 99441-99443)
- Enable remote diagnostics for urinary tract health
- Ensure compliance with teleurology reimbursement policies
6. Future of Urology ICD-10 Coding: Preparing for ICD-11
Although ICD-10 remains in use, ICD-11 will introduce enhancements such as:
- More detailed classifications for kidney and bladder conditions
- Expanded categories for male reproductive health
- Improved interoperability with cloud-based EHRs like DocVilla
Conclusion: Simplify Urology ICD-10 Coding with DocVilla
Accurate ICD-10 coding is critical for urologists to maximize reimbursements, minimize claim denials, and improve documentation accuracy. DocVilla’s AI-powered EHR and medical billing software ensures that:
- Urology practices automate ICD-10 coding for efficiency
- Specialty-specific billing tools reduce revenue loss
- Teleurology and remote patient monitoring services are seamlessly integrated
To see how DocVilla can optimize your urology practice’s documentation and billing, schedule a free demo today.