Postural (urinary) incontinence
ICD-10 N39.492 is a billable code used to indicate a diagnosis of postural (urinary) incontinence.
Postural urinary incontinence refers to the involuntary leakage of urine that occurs during changes in body position, such as standing up or moving from a sitting to a standing position. This condition is often associated with weakened pelvic floor muscles, which can be exacerbated by factors such as childbirth, aging, obesity, and certain neurological conditions. Patients may experience varying degrees of incontinence, from minor leakage to complete loss of bladder control. The condition can significantly impact quality of life, leading to social withdrawal, anxiety, and depression. Diagnosis typically involves a thorough medical history, physical examination, and possibly urodynamic testing to assess bladder function. Treatment options may include pelvic floor exercises, lifestyle modifications, medications, or surgical interventions, depending on the severity and underlying causes of the incontinence. Understanding the relationship between postural changes and urinary leakage is crucial for effective management and patient education.
Detailed urodynamic studies, patient history, and treatment plans must be documented.
Patients presenting with urinary leakage during physical activity or postural changes.
Urologists should ensure that all relevant tests and evaluations are documented to support the diagnosis.
Documentation of pelvic examinations and any relevant obstetric history.
Women experiencing urinary incontinence post-childbirth or during menopause.
Gynecologists should focus on pelvic floor health and its impact on urinary function.
Used to evaluate bladder function in patients with urinary incontinence.
Complete urodynamic study results must be documented.
Urologists should ensure that all findings are clearly documented to support the diagnosis.
Postural incontinence specifically refers to urine leakage that occurs with changes in body position, while stress incontinence is a broader term that includes leakage during activities that increase abdominal pressure, such as coughing or sneezing.
