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

ICD-10 R35.0

Billable / Specific

Frequency of micturition

R35
Block
0
Synonyms
129
LCDs
12
Payer Policies
9
Linked CPTs

About ICD-10-CM R35.0

ICD-10-CM code R35.0 represents Frequency of micturition. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R35). The 2026 edition of ICD-10-CM R35.0 became effective on October 1, 2025.

Medicare LCD Coverage for R35.0

Local Coverage Determinations (LCDs) from CMS MACs that list R35.0 as a covered diagnosis.

129 LCDs

Showing top 10 of 129 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 R35.0.

12 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: 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

Transvaginal Ultrasonography
Policy ID: CPB-0530

CPT Codes Commonly Billed with R35.0

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

9 linkages
  • 64566 CMS LCD: Billing and Coding: Posterior Tibial Nerve Stimulation for Voiding Dysfunction CMS LCD
  • 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 R35.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R35.0 78841 00000

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

ICD-10 R35.0, Billing FAQ

Is ICD-10 code R35.0 billable? +

Yes, R35.0 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 R35.0? +

Procedures frequently paired with R35.0 include: 64566, C1820, L8680, A4290, C1883.

What ICD-9 codes does R35.0 map to? +

Per CMS GEMs, R35.0 maps to ICD-9 codes: 78841. 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 June 1, 2026.

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