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v1.0.0
ICD-10 Guide
ICD-10 CodesN31.2

N31.2

Billable

Flaccid neuropathic bladder, not elsewhere classified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N31.2 is a billable code used to indicate a diagnosis of flaccid neuropathic bladder, not elsewhere classified.

Key Diagnostic Point:

Flaccid neuropathic bladder is a condition characterized by the loss of normal bladder function due to nerve damage, leading to an inability to contract the bladder muscles effectively. This condition often results from neurological disorders such as multiple sclerosis, spinal cord injuries, or diabetic neuropathy. Patients may experience urinary retention, overflow incontinence, and recurrent urinary tract infections (UTIs) due to the inability to fully empty the bladder. The flaccid state of the bladder can lead to significant bladder dysfunction, where the bladder becomes distended and unable to respond to normal physiological cues for urination. This condition is not classified elsewhere in the ICD-10 coding system, making it essential for coders to accurately document the underlying neurological cause and associated symptoms to ensure proper coding and reimbursement. Management often includes catheterization, medications to manage bladder tone, and regular monitoring for complications such as cystitis or renal impairment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying neurological conditions that can cause flaccid neuropathic bladder.
  • Need for detailed documentation of symptoms and history to support the diagnosis.
  • Potential for overlapping symptoms with other bladder disorders.
  • Variability in treatment approaches based on the underlying cause.

Audit Risk Factors

  • Inadequate documentation of neurological history.
  • Failure to document associated urinary tract infections.
  • Misclassification of bladder dysfunction type.
  • Lack of clarity on the patient's functional status.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including neurological assessments and bladder function tests.

Common Clinical Scenarios

Patients presenting with urinary retention, recurrent UTIs, or bladder distension.

Billing Considerations

Ensure documentation reflects the neurological basis of bladder dysfunction.

Neurology

Documentation Requirements

Comprehensive neurological evaluation and correlation with bladder symptoms.

Common Clinical Scenarios

Patients with spinal cord injuries or multiple sclerosis presenting with bladder issues.

Billing Considerations

Document the neurological diagnosis clearly to support the bladder dysfunction coding.

Coding Guidelines

Inclusion Criteria

Use N31.2 When
  • Follow the official ICD
  • CM guidelines for coding and reporting, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant co
  • morbidities and specify the type of bladder dysfunction when applicable

Exclusion Criteria

Do NOT use N31.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

51702CPT Code

Urodynamics

Clinical Scenario

Used to assess bladder function in patients with suspected neurogenic bladder.

Documentation Requirements

Document the indications for the urodynamic study and findings.

Specialty Considerations

Urologists should ensure comprehensive documentation of bladder assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bladder dysfunctions, including flaccid neuropathic bladder, which aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bladder dysfunctions, including flaccid neuropathic bladder, which aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bladder dysfunctions, including flaccid neuropathic bladder, which aids in better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of flaccid neuropathic bladder?

Flaccid neuropathic bladder is primarily caused by nerve damage due to conditions such as spinal cord injuries, multiple sclerosis, or diabetic neuropathy, leading to loss of bladder control.