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v1.0.0
ICD-10 Guide
ICD-10 CodesN31.1

N31.1

Billable

Reflex neuropathic bladder, not elsewhere classified

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

Code Description

ICD-10 N31.1 is a billable code used to indicate a diagnosis of reflex neuropathic bladder, not elsewhere classified.

Key Diagnostic Point:

Reflex neuropathic bladder is a condition characterized by the loss of voluntary control over bladder function due to neurological impairment. This condition often arises from spinal cord injuries, multiple sclerosis, or other neurological disorders that disrupt the normal signaling pathways between the bladder and the brain. Patients may experience symptoms such as urinary incontinence, urgency, and frequency, as well as potential complications like urinary tract infections (UTIs) and bladder dysfunction. The bladder may still contract reflexively, leading to involuntary urination, but the patient lacks the ability to control these contractions consciously. Diagnosis typically involves a thorough clinical evaluation, including patient history, physical examination, and urodynamic studies to assess bladder function. Treatment options may include bladder training, medications, and in some cases, surgical interventions to manage symptoms and prevent complications. Understanding the underlying neurological condition is crucial for effective management and coding of this disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying neurological conditions that can cause reflex neuropathic bladder.
  • Overlap with other bladder dysfunction codes, requiring careful differentiation.
  • Need for comprehensive documentation to support the diagnosis.
  • Potential for co-morbid conditions that complicate coding.

Audit Risk Factors

  • Inadequate documentation of neurological diagnosis.
  • Failure to document the severity and impact of symptoms.
  • Misclassification of bladder dysfunction types.
  • Lack of supporting evidence for treatment plans.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed urodynamic studies, patient history, and treatment plans.

Common Clinical Scenarios

Management of urinary incontinence in patients with neurological disorders.

Billing Considerations

Need for clear documentation of neurological assessments and bladder function tests.

Neurology

Documentation Requirements

Comprehensive neurological evaluations and imaging studies.

Common Clinical Scenarios

Assessment of bladder function in patients with spinal cord injuries or multiple sclerosis.

Billing Considerations

Documentation must link neurological findings to bladder dysfunction.

Coding Guidelines

Inclusion Criteria

Use N31.1 When
  • According to ICD
  • 10 guidelines, N31
  • 1 should be used when the reflex neuropathic bladder is not classified elsewhere
  • Coders must ensure that the underlying neurological condition is documented and that the bladder dysfunction is directly linked to it

Exclusion Criteria

Do NOT use N31.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

51797CPT Code

Urodynamics

Clinical Scenario

Used to evaluate bladder function in patients with suspected neuropathic bladder.

Documentation Requirements

Detailed report of urodynamic findings and correlation with clinical symptoms.

Specialty Considerations

Urologists must ensure that the urodynamic study results are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like reflex neuropathic bladder, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like reflex neuropathic bladder, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 reflex neuropathic bladder?

Reflex neuropathic bladder is a condition where bladder function is impaired due to neurological damage, leading to involuntary urination and bladder dysfunction.

How is reflex neuropathic bladder diagnosed?

Diagnosis involves a clinical evaluation, patient history, and urodynamic studies to assess bladder function and capacity.

What are the treatment options for reflex neuropathic bladder?

Treatment may include bladder training, medications, and surgical interventions to manage symptoms and prevent complications.