Injury to bladder and urethra, without mention of open wound into cavity

This code signifies a traumatic injury to the urinary bladder and/or urethra that does not involve an open wound communicating with the peritoneal cavity or external environment. It encompasses contusions, hematomas, or partial tears of these structures resulting from blunt force trauma.

Use this code for patients presenting with signs and symptoms of bladder or urethral injury, such as hematuria, suprapubic pain, or difficulty voiding, following blunt abdominal or pelvic trauma. Documentation should clearly state the injury to the bladder and/or urethra and explicitly exclude an open wound into a body cavity.

• Differentiate from open wounds (e.g., penetrating trauma) which would be coded differently.
• Ensure documentation specifies both bladder and urethra if applicable; otherwise, use more specific codes if only one is injured.
• Always sequence this code after the primary injury causing the trauma (e.g., fracture of pelvis).