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v1.0.0
ICD-10 Guide
ICD-10 CodesN39.4

N39.4

Billable

Other specified urinary incontinence

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

Code Description

ICD-10 N39.4 is a billable code used to indicate a diagnosis of other specified urinary incontinence.

Key Diagnostic Point:

N39.4 refers to urinary incontinence that does not fall into the more common categories such as stress, urge, or overflow incontinence. This code is used when patients experience involuntary loss of urine due to specific underlying conditions that are not classified elsewhere. Conditions such as urethritis, urethral stricture, and other urethral disorders can contribute to this type of incontinence. Urethritis, an inflammation of the urethra, can lead to discomfort and increased urgency, while urethral strictures can obstruct urine flow, resulting in overflow incontinence. Additionally, urinary incontinence may arise from systemic diseases that affect the urinary system, such as neurological disorders or diabetes. Accurate coding requires a thorough understanding of the patient's medical history and the specific nature of their urinary incontinence, as well as any associated conditions that may be contributing to their symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can cause incontinence.
  • Need for detailed patient history to determine the specific cause.
  • Differentiation from other types of urinary incontinence.
  • Potential overlap with other urinary system disorders.

Audit Risk Factors

  • Inadequate documentation of underlying conditions.
  • Failure to specify the type of urinary incontinence.
  • Misclassification of incontinence type.
  • Lack of supporting clinical evidence for the diagnosis.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on urinary symptoms, diagnostic tests performed, and treatment plans.

Common Clinical Scenarios

Patients presenting with urinary frequency, urgency, or pain during urination.

Billing Considerations

Urologists must document the specific type of urinary incontinence and any relevant surgical history.

Primary Care

Documentation Requirements

Comprehensive patient history, including medication review and lifestyle factors.

Common Clinical Scenarios

Patients with chronic conditions such as diabetes or neurological disorders presenting with urinary issues.

Billing Considerations

Primary care providers should assess for comorbidities that may contribute to urinary incontinence.

Coding Guidelines

Inclusion Criteria

Use N39.4 When
  • According to ICD
  • 10 coding guidelines, N39
  • 4 should be used when the urinary incontinence is specified as 'other' and not classified under more common types
  • Coders must ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use N39.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

51798CPT Code

Urodynamics

Clinical Scenario

Used to evaluate urinary incontinence and bladder function.

Documentation Requirements

Document the indication for the test and findings.

Specialty Considerations

Urologists should ensure that the urodynamics 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 urinary incontinence, including N39.4, which captures cases that do not fit into the more common categories. This specificity can improve patient care by ensuring that underlying conditions are addressed.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urinary incontinence, including N39.4, which captures cases that do not fit into the more common categories. This specificity can improve patient care by ensuring that underlying conditions are addressed.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urinary incontinence, including N39.4, which captures cases that do not fit into the more common categories. This specificity can improve patient care by ensuring that underlying conditions are addressed.

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 conditions can lead to the use of N39.4?

N39.4 can be used for urinary incontinence resulting from urethritis, urethral strictures, or other urinary system disorders that do not fit into the more common categories of incontinence.