Vesical tenesmus

This code represents the uncomfortable, persistent sensation of needing to urinate, even after the bladder has been emptied. It is characterized by a feeling of incomplete bladder emptying and a continuous urge to void, often accompanied by straining. This symptom is distinct from dysuria (painful urination) but can co-occur.

Use this code when documentation explicitly states "vesical tenesmus" or describes the characteristic symptoms of a persistent, ineffective urge to urinate with straining. This symptom often arises in the context of bladder irritation, inflammation, or obstruction. Supporting documentation would include physician notes detailing the patient's urinary symptoms.

• Do not confuse with urinary urgency (R39.81) or dysuria (R30.0); vesical tenesmus specifically implies straining and an ineffective urge.
• Always code the underlying cause of the vesical tenesmus if known and documented, such as cystitis or a urinary tract infection.
• This code is for a symptom; it should be sequenced after the definitive diagnosis if one is established.