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ICD-10 Guide
ICD-10 CodesN39.43

N39.43

Billable

Post-void dribbling

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

Code Description

ICD-10 N39.43 is a billable code used to indicate a diagnosis of post-void dribbling.

Key Diagnostic Point:

Post-void dribbling refers to the involuntary leakage of urine that occurs immediately after the act of urination. This condition is often associated with various underlying urinary tract disorders, including urethritis, urethral stricture, and other urethral disorders. It can be caused by weakened pelvic floor muscles, neurological conditions, or anatomical abnormalities. Patients may experience embarrassment and discomfort, leading to a significant impact on their quality of life. The condition can be diagnosed through a combination of patient history, physical examination, and urodynamic studies. Treatment options may include pelvic floor exercises, medications, or surgical interventions depending on the underlying cause. Accurate coding of post-void dribbling is essential for appropriate management and reimbursement, as it often requires a multidisciplinary approach involving urologists, primary care physicians, and physical therapists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes that can lead to post-void dribbling.
  • Need for comprehensive patient history to determine the exact etiology.
  • Potential overlap with other urinary disorders, complicating diagnosis.
  • Variability in treatment approaches based on the underlying condition.

Audit Risk Factors

  • Inadequate documentation of the underlying cause.
  • Failure to specify whether the condition is acute or chronic.
  • Misclassification of the condition as a different urinary disorder.
  • Lack of supporting evidence for treatment provided.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, and results from urodynamic studies.

Common Clinical Scenarios

Patients presenting with urinary leakage after voiding, often following prostate surgery or pelvic floor dysfunction.

Billing Considerations

Urologists must ensure that the documentation clearly indicates the cause of post-void dribbling to support the chosen treatment plan.

Primary Care

Documentation Requirements

Comprehensive review of urinary symptoms, medication history, and any relevant comorbidities.

Common Clinical Scenarios

Patients with new-onset urinary symptoms or those with chronic conditions such as diabetes presenting with urinary issues.

Billing Considerations

Primary care providers should document any referrals to specialists and the rationale for those referrals.

Coding Guidelines

Inclusion Criteria

Use N39.43 When
  • According to ICD
  • 10 guidelines, N39
  • 43 should be used when the documentation specifies post
  • void dribbling as a distinct condition
  • It is important to ensure that the underlying cause is documented, as this may affect treatment and reimbursement

Exclusion Criteria

Do NOT use N39.43 When
  • Exclusion criteria include conditions that are not directly related to urinary function

Related ICD-10 Codes

Related CPT Codes

51797CPT Code

Urodynamics, complex

Clinical Scenario

Used when evaluating patients with post-void dribbling to assess bladder function.

Documentation Requirements

Detailed report of urodynamic findings and interpretation.

Specialty Considerations

Urologists should 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 urinary disorders, including post-void dribbling. This specificity aids in better tracking of patient outcomes and reimbursement processes, as well as enhancing the understanding of the condition's prevalence and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urinary disorders, including post-void dribbling. This specificity aids in better tracking of patient outcomes and reimbursement processes, as well as enhancing the understanding of the condition's prevalence and treatment efficacy.

Reimbursement & Billing Impact

reimbursement processes, as well as enhancing the understanding of the condition's prevalence and treatment efficacy.

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 the primary cause of post-void dribbling?

Post-void dribbling can be caused by various factors, including urethral stricture, pelvic floor dysfunction, or neurological conditions affecting bladder control.

How is post-void dribbling diagnosed?

Diagnosis typically involves a thorough patient history, physical examination, and may include urodynamic studies to assess bladder function.

What treatments are available for post-void dribbling?

Treatment options may include pelvic floor exercises, medications, or surgical interventions, depending on the underlying cause.