ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N30.10

Billable / Specific

Interstitial cystitis (chronic) without hematuria

N30
Block
0
Synonyms
380
LCDs
19
Payer Policies
8
Linked CPTs

About ICD-10-CM N30.10

ICD-10-CM code N30.10 represents Interstitial cystitis (chronic) without hematuria. This is a billable/specific code in the Genitourinary System chapter (block N30). The 2026 edition of ICD-10-CM N30.10 became effective on October 1, 2025.

Medicare LCD Coverage for N30.10

Local Coverage Determinations (LCDs) from CMS MACs that list N30.10 as a covered diagnosis.

380 LCDs

Showing top 10 of 380 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64646 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N30.10.

19 policies

1 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530

5 Medicare

Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
Policy ID: ART-53359
Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
Policy ID: ART-55835
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Urodynamics
Policy ID: ART-56802
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57185

CPT Codes Commonly Billed with N30.10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

8 linkages
  • C1820 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • L8680 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • A4290 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • C1883 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • C1767 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • C1778 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • C1897 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
  • L8678 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence CMS LCD

Convert N30.10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N30.10 5951 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N30.10, Billing FAQ

Is ICD-10 code N30.10 billable? +

Yes, N30.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with N30.10? +

Procedures frequently paired with N30.10 include: C1820, L8680, A4290, C1883, C1767.

What ICD-9 codes does N30.10 map to? +

Per CMS GEMs, N30.10 maps to ICD-9 codes: 5951. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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