Functional urinary incontinence
ICD-10 R39.81 is a billable code used to indicate a diagnosis of functional urinary incontinence.
Functional urinary incontinence refers to the involuntary loss of urine due to physical or cognitive impairments that prevent an individual from reaching the toilet in time. This condition is often seen in elderly patients or those with disabilities, where mobility issues, cognitive decline, or environmental barriers contribute to the inability to control urination. Unlike other forms of urinary incontinence, such as urge or stress incontinence, functional urinary incontinence is primarily related to the patient's functional status rather than the urinary tract's physiological function. Symptoms may include frequent accidents, urgency, and a sense of loss of control over urination. Clinical evaluation often involves assessing the patient's mobility, cognitive function, and environmental factors that may hinder timely access to a restroom. Laboratory findings may not be directly related to this condition, but a comprehensive assessment may include urinalysis to rule out urinary tract infections or other underlying conditions.
Detailed patient history, including mobility and cognitive assessments, and environmental factors affecting urination.
Elderly patients in assisted living facilities experiencing incontinence due to mobility issues.
Consideration of co-morbidities such as dementia or arthritis that may contribute to functional limitations.
Acute assessment of urinary incontinence, including immediate functional status evaluation.
Patients presenting with acute confusion or delirium leading to incontinence.
Rapid assessment of underlying causes and environmental factors in acute settings.
Used when assessing a patient with functional urinary incontinence in an outpatient setting.
Document the patient's functional status, assessment of incontinence, and any treatment plans.
Internal medicine specialists should focus on comprehensive evaluations of mobility and cognitive function.
Functional urinary incontinence is primarily caused by physical or cognitive impairments that prevent timely access to a restroom, rather than issues with the urinary tract itself.
