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

ICD-10 R33.9

Billable / Specific

Retention of urine, unspecified

R33
Block
0
Synonyms
125
LCDs
10
Payer Policies
12
Linked CPTs

About ICD-10-CM R33.9

ICD-10-CM code R33.9 represents Retention of urine, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R33). The 2026 edition of ICD-10-CM R33.9 became effective on October 1, 2025.

Medicare LCD Coverage for R33.9

Local Coverage Determinations (LCDs) from CMS MACs that list R33.9 as a covered diagnosis.

125 LCDs

Showing top 10 of 125 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
Article ID: 57050, Effective: 2026-03-26 00:00:00, 42 covered, 0 non-covered
CPT 51798 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1897 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1778 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT 95970 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT L8678 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1820 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT A4290 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1883 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT 95971 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT 64561 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R33.9.

10 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
Policy ID: ART-53359
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
Policy ID: ART-55835
Billing and Coding: Urodynamics
Policy ID: ART-56802
Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
Policy ID: ART-57050

1 Aetna

Urological Supplies
Policy ID: CPB-0533

CPT Codes Commonly Billed with R33.9

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

12 linkages
  • 52000 Cystoscopy diagnostic — bladder neck obstruction, cystitis, hematuria, hydronephrosis, bladder cancer, BPH, urinary retention, urethral stricture, poor stream, bladder calculus Urology
  • 52601 TURP — BPH with LUTS, BPH, urinary retention, poor stream, hydronephrosis, bladder neck obstruction, hematuria Urology
  • 55700 Prostate biopsy — elevated PSA, prostate disorder, prostate cancer, family hx prostate cancer, urinary retention, prostate screening Urology
  • 76857 Pelvic ultrasound non-OB — BPH, urinary retention, hematuria, poor stream, hydronephrosis, bladder cancer, pelvic pain, cystitis Urology
  • 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

Convert R33.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R33.9 78820 00000

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

ICD-10 R33.9, Billing FAQ

Is ICD-10 code R33.9 billable? +

Yes, R33.9 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 R33.9? +

Procedures frequently paired with R33.9 include: 52000, 52601, 55700, 76857, C1820.

What ICD-9 codes does R33.9 map to? +

Per CMS GEMs, R33.9 maps to ICD-9 codes: 78820. 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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