31 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 996. Use secondary code (s) from Chapter 20, External causes of morbidity, to. Note: Category T83. T83. Top Text Box: Discontinue urinary catheter when no longer meets criteria. ICD-10-CM Diagnosis Code R33. 028A. Code 771. 1016/S0025-6196 (11)63368-5. Flush foley and see if urine output improves. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Because it can be left in place in the bladder for a period of time, it is also called an indwelling catheter. Billable Thru Sept 30/2015. 8 [convert to ICD-9-CM] Other retention of urine. 1); Chromoconversion (dipstick); Idiopathic dipstick converts positive for blood with no cellular forms in sediment. initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. Showing 1-25: ICD-10-CM Diagnosis Code T83. Postoperative urinary retention (POUR) is a frequent complication after anesthesia and surgery in general [1, 2]. 9 - other international versions of ICD-10 N31. Hold the catheter in place until the bladder empties. Results: We reviewed the charts of 583 patients, of whom 450 (77. 3-N39. 9 – Neuromuscular dysfunction of bladder, unspecified. 028A became effective on October 1, 2023. Long term (current) use of immunosuppressant. A patient visit within 7 or 30 postoperative days to the emergency room, urgent care, or outpatient clinic in the region’s network with a diagnosis code of N39. 8 for Other retention of urine is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not. Postoperative urinary retention (POUR) is the inability to urinate after a surgical procedure despite having a full bladder. Urinary retention caused by blocked foley catheter; Urinary retention due to benign prostatic hypertrophy; , if applicable, any causal condition, such as:; enlarged prostate (N40. Local infection due to central venous catheter, subsequent encounter. The 2024 edition of ICD-10-CM T83. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. ICD-9-CM 996. The Indwelling. Non-neurogenic chronic urinary retention (CUR) can be challenging to diagnose and treat because there is no consensus on the criteria that define CUR. Background Postpartum urinary retention (PUR) may lead to bladder neuromuscular damage and subsequently voiding dysfunction. There are two main types of urinary catheterization: indwelling catheterization and clean intermittent catheterization (CIC). Leakage of other urinary catheter, initial encounter. Benign prostatic hypertrophy (enlarged prostate); Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter; Urinary retention due to benign prostatic hypertrophy; , if applicable, any causal condition, such as:; enlarged prostate (N40. 1) ICD-10-CM Diagnosis Code N13. Obstruction of urinary catheter; Retention of urine; Retention of urine due to occlusion of Foley catheter; Coding Guidelines. The bladder is catheterized in the normal way under aseptic conditions using a two-way Foley catheter. Procedure: Patient was prepped and draped in the usual sterile fashion. Showing 1-25: ICD-10-CM Diagnosis Code T83. 6 became effective on October 1, 2023. 15) –Weak urinary stream (R39. Search Results. 09 may differ. psychogenic retention of urine (F45. The patient has been on a Foley catheter since his diagnosis was established with catheter exchange in the urology clinic every 6–8 weeks. Urinary retention was defined as need for urinary catheterization postoperatively. 8. 22Z46. On October 1, 2019, 0 became effective. Objective To investigate the effect. 7. Chronic urinary retention is treated initially the same as acute urinary retention: either with a urethral Foley catheter, suprapubic tube or by clean intermittent self-catheterization. He presented originally for urinary frequency, hesitancy, weak stream, and nocturia, for Medical Necessity. 098A Other mechanical complication of other urinary catheter, initial encounter Benign prostatic hypertrophy (enlarged prostate); Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter; Urinary retention due to benign prostatic hypertrophy; , if applicable, any causal condition, such as:; enlarged prostate (N40. 1. 85XA [convert to ICD-9-CM]Other mechanical complication of other urinary catheter, initial encounter. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . POUR causes significant patient discomfort and usually requires treatment with bladder catheterization, which is associated with prolonged. Acute urinary. Documentation must also show the recommended number of times the patient should catheterize per day (or week/month). This ICD-10 to ICD-9 data is based on the 2018 General Equivalency Mapping (GEM) files published by the Centers. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Use ICD-10 diagnostic code N32. 0 - Urinary tract infection, site not specified: Yes. R33. 1) ICD-10-CM Diagnosis Code R33. Postpartum urinary retention is a relatively common condition that can have a marked impact on women in the immediate days following childbirth. Many clinical situations are appropriate for the placement of catheters, but too frequently they are used without proper indication or continued longer than needed. Uncategorized. 9%) women who did not were controls. 9 contain annotation back-references that may be applicable to N31. The 2024 edition of ICD-10-CM N31. 3); myoglobinuria (R82. 9 : N00-N99. The 2024 edition of ICD-10-CM T83. This causes it to press on the urethra to block the flow of urine. 0. Short description: Urinary catheterization cause abn react/compl, w/o misadvnt The 2024 edition of ICD-10-CM Y84. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T83. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. 500 results found. 098A [convert to ICD-9-CM] Other mechanical complication of other urinary catheter, initial encounter. Put your coding skills to the test with this tricky catheter insertion scenario. 1 [convert to ICD-9-CM] Benign prostatic hyperplasia with lower urinary tract symptoms. The 2024 edition of ICD-10-CM N13. In ICD-10-CM there are numerous combination codes that represent either two diagnoses, a diagnosis and manifestation, or a diagnosis and. is measured in French, where every French is equal to 0. UTI due to Candidal yeast requires one code, 112. Showing 1-25: ICD-10-CM Diagnosis Code T83. ICD-10-CM Diagnosis Code Z96. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Z87. Chromoabnormality of urine; Urine color abnormal; hemoglobinuria (R82. Leakage of aortic (bifurcation) graft (replacement), initial encounter. 9 may differ. 1)Urinary retention is an inability to completely empty the bladder. 028A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 02 became effective on October 1, 2023. 098D. 028A [convert to ICD-9-CM] Displacement of other urinary catheter, initial encounter. Methods. 098A. Urinary tract infections (UTIs) are among the most common causes of sepsis presenting to hospitals. Abstract. ICD-10-CM Diagnosis Code Z43. Overflow incontinence. POUR was significantly associated with bilateral hernia repairs (p = 0. Patients were evaluated for pain (treatment success), hematuria, and hypotension. complicated (eg, altered anatomy, fractured catheter/balloon) for the insertion of an indwelling catheter, such as a Foley catheter. 5. DISCUSSION. T83. T83. Short description: I/I react d/t other urinary catheter, sequela; The 2024 edition of ICD-10-CM T83. Given that the claims data did not reflect withdrawal of the urethral catheter, we could not calculate the duration of urethral catheter placement. The aim of the study was to investigate the epidemiology and risk factors of acute urinary retention (AUR) during pregnancy. The 2024 edition of ICD-10-CM R33. Z46. ICD-10-CM Diagnosis Code T82. Perforation of urinary catheter. 0 Complications of bone marrow transplant. Retention of. ICD-10-CM Code for Urinary catheterization as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure Y84. Answer: Since your urologist placed the Foley catheter to treat urinary retention and needed to use cystoscopy to complete the placement, you should report 52281 (Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without. ICD 10 code for Displacement. 1)Foley catheters are small flexible tubes inserted into the urethra to drain urine from the bladder. Uncategorized. Daily evaluation of the ongoing need for the catheter is essential to reduce. R31. 1) ICD-10-CM Diagnosis Code N13. Fifty trauma patients over a 1-year period with an International Classification of Diseases, Tenth Revision (ICD-10) code for urinary retention were identified and analyzed. 6 Urinary catheterization as the cause of abnormal reaction of the patient, or of later. Enlarged prostate. 31 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 996. attention to artificial openings of urinary tract (. Incomplete emptying of the bladder. ICD-9-CM 996. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T83. ICD-10-CM Diagnosis Code T83. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the Z96 ICD-10-CM version from the United States. 021A. 8; Urinary Incontinence R32; Urge Incontinence N39. 0 Drug induced retention of urine; R33. N31. 1) ICD-10-CM Diagnosis Code R33. This is the American ICD-10-CM version of R31. Covered supplies for reasonable and necessary continuous bladder irrigation include a 3-way Foley catheter (A4313, A4316, and A4346), irrigation tubing set. This is the American ICD-10-CM version of T83. Acute urinary retention is a urologic emergency characterized by the sudden inability to urinate combined with suprapubic pain, bloating, urgency, distress, or, occasionally, mild incontinence. Diseases spread by having sex (called STIs) can also cause swelling and lead to retention. Insertion of Catheter . ICD 10 PCS: 0W9F3ZZ: incision and drainage of infected seroma (abdominal wall) 4. N13. ICD-10-CM is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes. 2 may differ. Search Results. 9 [convert to ICD-9-CM] Retention of urine, unspecified. Here's a list of commonly used Foley catheter-related ICD-10 codes, along with whether they are billable: N39. Other retention of urine. The following code (s) above N35. A patient visit within 7 or 30 postoperative days to the emergency room, urgent care, or outpatient clinic in the region’s network with a diagnosis code of N39. R33. Fluid is continuously administered into the bladder via a triple-lumen urinary catheter or a “3-way catheter” and allowed to drain. What exactly is an indwelling catheter? “Indwelling” refers to the inside of your. He came to the emergency department. ICD-10-CM T83. 098A Other mechanical complication of other. 7. Foley Catheter Trauma. 8: Other retention of urine; R33. 098A. Breakdown (mechanical) of other urinary catheter, initial encounter: T83020A: Displacement of cystostomy catheter, initial encounter: T83021A: Displacement of indwelling urethral catheter, initial encounter: T83022A: Displacement of nephrostomy catheter, initial encounter: T83028A: Displacement of other urinary catheter, initial. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter ICD-10-CM Diagnosis Code T83. When you began reporting diagnoses based on ICD-10, the old catch-all code of 596. 098A Other mechanical complication of other. Other retention of urine. T83. Presence of foley catheter; Presence of pessary; Presence of ureteral stent; Presence of ureteral stent (device to keep ureter open); Presence of urinary prosthetic device; Vaginal pessary in situ. 89 (Other specified disorders of bladder) for the urinary clot. 5 to 6. 9 became effective on October 1, 2023. 31 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 996. 02 became effective on October 1, 2023. initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. 500 results found. ICD-10-CM Diagnosis Code T83. 310. But typically, if you’re proving professional services outside of that facility, you’re not employed by that facility, you’re reporting on the 1500, you’re using your traditional CPT codes. The 2024 edition of ICD-10-CM Z46. 028A. 9 contain annotation back-references that may be applicable to N35. What exactly is an indwelling catheter? “Indwelling” refers to the inside of your. Postprocedural urinary retention; Retention of urine; Urinary retention; Urinary retention after procedure. 6 is exempt from POA reporting ( Present On Admission). ICD-10-CM Diagnosis Code T83. 4) –Urinary obstruction (N13. Drug induced urinary retention; Drug-induced retention of urine; code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code R33. Introduction. Other mechanical complication of Hopkins catheter. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. 8 [convert to ICD-9-CM] Other retention of urine. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter. Type 1 Excludes. 0. ICD-10-PCS; New 2024 Codes; Codes Revised in 2024; Codes Deleted in 2024; HCPCS . 62 - other international versions of ICD-10 Q62. Urinary retention caused by blocked foley catheter; Urinary retention due to benign prostatic hypertrophy; , if applicable, any causal condition, such as:; enlarged prostate (N40. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Other mechanical complication of graft of urinary organ. N39. T83. Benign prostatic hypertrophy (enlarged prostate); Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter; Urinary retention due to benign prostatic hypertrophy; , if applicable, any causal condition, such as:; enlarged prostate (N40. Retrograde voiding trials have a sensitivity of 94. Infection and inflammatory reaction due to other urinary stents, sequela. If the volume is >300 cc, leave the catheter in; this indicates significant residual bladder volume/urinary retention. 425 results found. Intermittent straight catheter (ISC), “In and Out” C. The 2024 edition of ICD-10-CM T83. Other mechanical complication of other urinary catheter, initial encounter. ICD-10-CM Diagnosis Code R33. 098A became effective on October 1, 2023. 53000-53800-Surgical procedures on the urethra. 6%), had adequately drained bladders with volumes of <. 9 [convert to ICD-9-CM] Retention of urine, unspecified. 05) and longer operative times (p = 0. This 65-year-old female had a minimally invasive diskectomy performed this morning in the ambulatory surgical unit. Urinary retention (being unable to empty your bladder when you need to). We compared the success rates of two widely used urinary-collection systems (catheter with drainage bag or a catheter valve) at our. R33 Retention of urine. Suprapubic catheters and nephrostomy tubes should be coded as an indwelling catheter (H0100A) only and not as an ostomy (H0100C). Conditions that make using a bedpan painful, such as a broken hip, require the use of a urinary. 091A for Other mechanical complication of indwelling urethral catheter, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . Acute urinary retention in men is most commonly secondary to benign prostatic hyperplasia (BPH). In 2013, there were 87,797,062 treated-and-released ED visits in adults. 7. Search Results. 11,12 Specifically, the 8. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter ICD-10-CM Diagnosis Code T83. On the other end of the spectrum, florid urosepsis in a. 1)59 results found. 39 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Search Results. A PVR can be used to evaluate many disease processes, including but not limited to neurogenic bladder, cauda equina syndrome, urinary outlet obstruction, mechanical obstruction, medication. Post-obstructive diuresis is an abnormal condition of prolonged polyuria, involving both excessive salt and water loss, after the acute drainage and decompression of a distended bladder, typically from. POUR was defined if the patient required urinary catheterization, either an indwelling or non-indwelling urinary catheter. The 2024 edition of ICD-10-CM Z46. 83 contain annotation back-references Displacement of other urinary catheter, initial encounter. ICD 10 code for Infection and inflammatory reaction due to other urinary catheter, subsequent encounter. 490 - other international versions of ICD-10 N39. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . Overview. While common, most iatrogenic urethral. Most patients had an indwelling urinary catheter placed on admission, and it was reinserted in 39 patients. Page 657, Case 4: Inpatient Admission What is the correct ICD-10-PCS code assignment for the PTCA procedure? 02704ZZ 02714ZZ 02713ZZ 02703ZZ and more. 1) ICD-10-CM Diagnosis Code E87. 0: Drug-induced retention of urine; R33. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. N39. 098A [convert to ICD-9-CM] Other mechanical complication of other urinary catheter, initial encounter. Permanent urinary retention is defined as retention that is not expected to be medically or surgically corrected in that person within 3. 9. 8 per 1,000 men per year. m. Urinary tract obstruction due to specified cause. R33. Showing 1-25: ICD-10-CM Diagnosis Code R33. 9 may differ. 15). Division of Area General Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA. 9 - other international versions of ICD-10 R31. 028. Pain due to genitourinary device, implant or graft; ICD-10-CM T83. Answer: Since your urologist placed the Foley catheter to treat urinary retention and needed to use cystoscopy to complete the placement, you should report. This was the first year ICD-10-CM was implemented into the HIPAA code set. The aims of this study were 1) to assess the efficacy and treatment. T83. 39 became effective on October 1, 2023. This mimics the action of the healthy bladder. ICD-9-CM 996. In the ICD-10-CM Alphabetic Index look for Enlargement, enlarged/prostate/with lower urinary tract symptoms (LUTS) directing you to code N40. ICD. Indwelling urinary catheter B. This is the American ICD-10-CM version of T83. 8 became effective on October 1, 2023. Short description: Mech compl of indwelling urethral catheter, subs; The 2024 edition of ICD-10-CM T83. T83. 8) –Urinary retention (R33. 511A for Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of. 2 – other international versions of ICD-10 N31. Foley catheter placement can be difficult to accomplish depending on the etiology of the retention and the degree of the obstruction. Obstruction (mechanical) of urinary catheter; Perforation of urinary catheter; Protrusion of urinary catheter. In urinary catheterization, a catheter (hollow tube) is inserted into the bladder to drain or collect urine. 021 may differ. 85XA [convert to ICD-9-CM] Other retention of urine. This is the American ICD-10-CM version of N13. Using the hierarchal ranking, a higher proportion of UC visits in men were coded for acute urinary retention, and a higher proportion. It should be suspected in any patient with lower abdominal discomfort and any degree of urinary difficulty. 2 became effective on October 1, 2021. 8 is used to describe urinary retention. Bladder catheters are used for urinary drainage, or as a means to collect urine for measurement. 038A may differ. Other mechanical complication of ileostomy catheter. 12) This instruction is the same as in ICD-9 LUTS 24 Commonly Coded Conditions in Urology A 58-year-old man presents for follow-up. 2 may differ. ICD-10-CM Diagnosis Code Z95. This is the American ICD-10-CM version of T83. Urinary catheters are placed for a number of reasons, including diagnostic and therapeutic reasons, as well as for convenience. 89 that is for ORTHOPEDIC device I use N99. 490 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Diagnosis Code R33. Mechanical complication due to urethral (indwelling) catheter. [ 1, 2] This topic describes the catheter over needle technique. Showing 1-25: ICD-10-CM Diagnosis Code R33. R33. 9 [convert to ICD-9-CM] Retention of urine, unspecified. This is the Z96 ICD-10-CM version from the United States. 518D. 8 is the correct additional code to report the urinary retention. 9: Retention of urine, unspecifiedThe 2024 edition of ICD-10-CM N31. 1) ICD-10-CM Diagnosis Code T83. Incomplete emptying of the bladder. Often, however, the term is used more narrowly to refer to suprapubic cystostomy or suprapubic catheterization. This is the American ICD-10-CM version of R32 - other international versions of ICD-10 R32 may differ. 9 became effective on October 1, 2023. 098A [convert to ICD-9-CM] Other mechanical complication of other urinary catheter, initial encounter Mech compl of other urinary catheter, initial. Catheters are sized in units called French (FR), where one French equals 1/3 of 1 mm. Other mechanical complication of other urinary catheter, initial encounter. “When changing catheters in patients with a long-term indwelling urinary catheter: do not offer antibiotic prophylaxis routinely consider antibiotic prophylaxis[17] for patients who: have a history of symptomatic UTI infection after catheter change or experience trauma[18] during catheterisation. Non-Billable On/After Oct 1/2015. The following code(s) above T83. Altered anatomy: yes, due to bladder neck contracture. Short description: Benign prostatic hyperplasia with lower urinary tract symp. R33. There are several types of urinary incontinence, and the individual resident may experienceThe method is before removing the urinary catheter, disinfect the sampling point with a cotton swab soaked in the urinary tube (if there is no sampling point in the catheter, the “Y” of the disinfected urinary catheter should be bifurcated downwards, and the nonsaccharide filling port upwards 3 cm away), draw 510 ml of urine from the. N13. Q62. In this type of catheterization, one end of the catheter remains inside the. men 40 to 83 years of age, the overall incidence was 4. Mech compl of other urinary catheter, initial encounter; Retention of urine due to occlusion of foley catheter; Urinary retention caused by blocked foley catheter ICD-10-CM Diagnosis Code T83. 31 should only be used for claims with a date of service on or before September 30, 2015. Postoperative urinary retention developed in 98 patients (16. R31. Urinal or incontinence garments. Search Results. 698 Other kidney and urinary tract diagnoses with mcc; 699 Other kidney and urinary tract diagnoses with cc; 700 Other kidney and urinary tract diagnoses without cc/mcc; Convert N99. In two large cohort studies of U. The. Potter's syndrome. 83 became effective on October 1, 2023. Approximate Synonyms. 192A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Obstruction (mechanical) of graft of urinary organ; Perforation of graft of urinary organ; Protrusion of graft of urinary organ. We believe the mechanism behind a lack of obstruction is likely related to a smaller tube diameter, allowing for uri-nary drainage in a retrograde fashion, as similarly described for vascular catheters. R41. 9: Retention of urine, unspecified The 2024 edition of ICD-10-CM N31. The 2024 edition of ICD-10-CM R32 became effective on October 1, 2023. Procedures Documentation Requirements . Cloudy peritoneal dialysis effluent; Cloudy peritoneal effluent. Acute urinary retention (AUR) is the inability to voluntarily pass urine. Overt PUR has been defined as the inability to void within 6 h of delivery or after removal of the catheter, whereas covert PUR means an increased post-void residual urine volume (PVR) of more than 150 ml after spontaneous micturition [1, 4]. Excludes2: encounter for fitting and management of implanted devices ( Z45 . This is the American ICD-10-CM version of Q62. ICD-10-CM Diagnosis Code R33. Don’t miss: You can report either 51702 or 51703 (. ICD-10-CM Diagnosis Code T83. 028D. This is the American ICD-10-CM version of N31. Short description: Mech compl of other urinary catheter, initial encounter. Mechanical complication due to urethral (indwelling) catheter. Urinary Tract Infections / etiology. You may also need a Foley catheter while your body heals after surgery. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. 091A became effective on October 1, 2023. In most cases, your provider will use the smallest catheter that is appropriate. 8 Other retention of urine; R33. foul-smelling urine.