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v1.0.0
ICD-10 Guide
DiagnosesNocturnal Enuresis

Nocturnal Enuresis

ICD-10 Coding for Nocturnal Enuresis(N39.44)

PRIMARY SPECIALTYPediatrics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Nocturnal Enuresis?
Essential facts and insights about Nocturnal Enuresis

Key Clinical Considerations:

  • Involuntary urination during sleep at least twice a week for three consecutive months
  • Exclusion of medical conditions such as urinary tract infections or diabetes
  • Family history of enuresis

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including frequency and duration of episodes
  • Assessment of psychosocial factors and family history
  • Use of specific terms like 'bedwetting' or 'nocturnal enuresis'

Coding Guidelines

Usage Guidelines & Examples

  • Ensure correct differentiation between primary and secondary enuresis.
  • Common errors include using codes for urinary incontinence unrelated to enuresis.

Code Exclusions

Important Exclusions

  • Urinary tract infections (N39.0)
  • Diabetes mellitus (E10-E14)

Related ICD-10 Codes

Primary Codes
R32
Unspecified urinary incontinence
F98.0
Enuresis, not due to a substance or known physiological condition
Ancillary Codes
R35.1
K59.0
Differential Codes
R32
R32
only when the type of incontinence is not specified.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Pediatrics

Specialty Applications

  • Pediatric patients aged 5 years and older
  • Outpatient pediatric clinics and specialty pediatric practices

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document frequency, duration, and any associated psychosocial factors.

Billing considerations?

Ensure correct ICD-10 codes are used and verify insurance coverage for treatment options.