N30.90 Cystitis, unspecified without hematuria

ICD10CM code

#### Name of the Condition
- **Cystitis, unspecified without hematuria** (ICD-10 code: N30.90)

#### Summary
- Cystitis refers to the inflammation of the bladder, often caused by a bacterial infection. The term "unspecified without hematuria" indicates a general inflammation of the bladder without the presence of blood in the urine.

#### Causes
- The most common cause of cystitis is a bacterial infection, particularly by Escherichia coli (E. coli). Other causes can include irritation from chemical substances, prolonged use of catheters, or radiation therapy.

#### Risk Factors
- Risk factors include being sexually active, female anatomy, use of certain types of birth control (e.g., diaphragms), menopause, diabetes, and a history of bladder infections.

#### Symptoms
- Symptoms typically include frequent urination, a strong and persistent urge to urinate, a burning sensation during urination, pelvic discomfort, and a sensation of incomplete bladder emptying.

#### Diagnosis
- Diagnosis usually involves reviewing symptoms, conducting a urinalysis to check for the presence of bacteria, and sometimes using imaging studies or cystoscopy for further investigation.

#### Treatment Options
- Antibiotics are the primary treatment for bacterial cystitis. Over-the-counter pain relievers may be recommended to alleviate discomfort. Increasing fluid intake and urinating frequently can help clear the infection.

#### Prognosis and Follow-Up
- With prompt treatment, cystitis generally resolves without complications. Follow-up is essential to ensure the infection has cleared, and recurring symptoms should be evaluated by a healthcare provider.

#### Complications
- If untreated, cystitis can lead to more severe infections such as pyelonephritis, a kidney infection. Chronic or recurrent cystitis may require broader medical evaluation and treatment strategies.

#### Lifestyle & Prevention
- Drinking plenty of fluids, urinating frequently, wiping from front to back, and avoiding irritating feminine products can help prevent cystitis. Cranberry supplements may also reduce recurrence.

#### When to Seek Professional Help
- Seek medical attention if symptoms of cystitis persist or worsen, or if there is fever, back pain, or blood in the urine, which may indicate a more serious infection.

#### Additional Resources
- For more information, visit the [American Urological Association](https://www.auanet.org), or the [National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)](https://www.niddk.nih.gov).

#### Tips for Medical Coders
- Ensure that the cystitis is coded as "unspecified without hematuria" only when there is no documentation of blood in the urine and the exact cause isn’t detailed. Avoid mistakenly coding for hematuria if symptoms suggest otherwise.

Medical Policies and Guidelines for Cystitis, unspecified without hematuria

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