ICD-10 · PDGM grouping
R39 Other and unspecified symptoms and signs involving the genitourinary system
All 21 codes in the R39 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
21
Can lead a claim
0
Cannot lead a claim
21
What CMS assigns to R39
None of the 21 codes is assigned a clinical group. None of the 21 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 9 of the 21.
Code first
CMS grouper convention 135, on R39.11, R39.12, R39.13, R39.14, R39.15, R39.16, R39.191, R39.192, R39.198. Code first:
- , if applicable, any causal condition, such as:
- enlarged prostate (N40.1)
Every code in R39
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| R39.0 | Extravasation of urine | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.1 Other difficulties with micturition | ||||
| R39.11 | Hesitancy of micturition | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.12 | Poor urinary stream | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.13 | Splitting of urinary stream | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.14 | Feeling of incomplete bladder emptying | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.15 | Urgency of urination | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.16 | Straining to void | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.19 Other difficulties with micturition | ||||
| R39.191 | Need to immediately re-void | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.192 | Position dependent micturition | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.198 | Other difficulties with micturition | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.2 | Extrarenal uremia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.8 Other symptoms and signs involving the genitourinary system | ||||
| R39.81 | Functional urinary incontinence | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.82 | Chronic bladder pain | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.83 | Unilateral non-palpable testicle | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.84 | Bilateral non-palpable testicles | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.85 Costovertebral (angle) tenderness | ||||
| R39.851 | Costovertebral (angle) tenderness, right side | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.852 | Costovertebral (angle) tenderness, left side | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.853 | Costovertebral (angle) tenderness, bilateral | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.859 | Costovertebral (angle) tenderness, unspecified side | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.89 | Other symptoms and signs involving the genitourinary system | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R39.9 | Unspecified symptoms and signs involving the genitourinary systemCMS: Unsp symptoms and signs involving the genitourinary system | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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