Urge incontinence
ICD-10 N39.41 is a billable code used to indicate a diagnosis of urge incontinence.
Urge incontinence, also known as overactive bladder, is characterized by an involuntary loss of urine associated with a strong, sudden urge to urinate. This condition can significantly impact a patient's quality of life, leading to social isolation and psychological distress. The underlying mechanisms often involve detrusor muscle overactivity, which can be triggered by various factors including neurological disorders, bladder irritants, or idiopathic causes. Patients may experience frequent urination, nocturia, and urgency, which can lead to accidents if not managed effectively. Diagnosis typically involves a thorough patient history, physical examination, and may include urodynamic studies to assess bladder function. Treatment options range from lifestyle modifications and pelvic floor exercises to pharmacological interventions and, in some cases, surgical options. Understanding the etiology and management of urge incontinence is crucial for effective treatment and coding.
Detailed urodynamic study results, patient history, and treatment plans.
Patients presenting with urgency, frequency, and nocturia.
Consideration of comorbidities such as diabetes or neurological disorders.
Pelvic examination findings, history of childbirth, and any surgical history.
Women experiencing urge incontinence post-menopause or after childbirth.
Impact of hormonal changes on bladder function.
Used to evaluate bladder function in patients with urge incontinence.
Results of urodynamic testing and interpretation.
Urology specialists should ensure comprehensive documentation of findings.
The primary symptom is a sudden, intense urge to urinate, often resulting in involuntary leakage.
