Trigonitis with hematuria

This code signifies inflammation specifically affecting the trigone region of the bladder, accompanied by the presence of blood in the urine. Trigonitis is a benign inflammatory condition often associated with hormonal changes or chronic irritation, and hematuria indicates bleeding within the urinary tract.

Use this code when documentation clearly states trigonitis and also specifies hematuria as a co-occurring symptom or finding. This applies to cases where a cystoscopy confirms trigonitis and urinalysis or microscopic examination identifies red blood cells.

• Ensure documentation explicitly links the hematuria to the trigonitis; otherwise, code hematuria separately.
• Do not use this code if the hematuria is due to another identifiable cause (e.g., kidney stones, tumor).
• Consider sequencing this code as a primary diagnosis if it is the main reason for the encounter, or as a secondary diagnosis if it's a co-morbidity.