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v1.0.0
ICD-10 Guide
ICD-10 CodesN39.498

N39.498

Billable

Other specified urinary incontinence

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

Code Description

ICD-10 N39.498 is a billable code used to indicate a diagnosis of other specified urinary incontinence.

Key Diagnostic Point:

N39.498 refers to urinary incontinence that does not fall into the more commonly defined categories such as stress incontinence, urge incontinence, or overflow incontinence. This code is used when the incontinence is due to other specified conditions, which may include urethritis, urethral stricture, or other urinary system disorders classified elsewhere. Urethritis, an inflammation of the urethra, can lead to urinary incontinence due to irritation and increased urgency. Urethral strictures, which are narrowings of the urethra, can obstruct urine flow and contribute to incontinence. Other urinary system disorders, such as those resulting from neurological conditions or systemic diseases, may also manifest as urinary incontinence. Accurate coding requires a thorough understanding of the underlying causes and documentation of the specific condition leading to the incontinence, as well as any associated symptoms or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to incontinence
  • Need for precise documentation of the specific cause
  • Differentiation from other types of urinary incontinence
  • Potential overlap with other urinary disorders

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Misclassification of incontinence type
  • Failure to link incontinence to the correct diagnosis
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, and diagnostic test results related to urinary function.

Common Clinical Scenarios

Patients presenting with urinary incontinence due to urethral stricture or urethritis.

Billing Considerations

Urologists must ensure that the specific cause of incontinence is well-documented to support the use of N39.498.

Nephrology

Documentation Requirements

Comprehensive assessment of renal function and urinary symptoms, including any systemic diseases affecting urinary control.

Common Clinical Scenarios

Patients with systemic diseases like diabetes or neurological disorders presenting with urinary incontinence.

Billing Considerations

Nephrologists should document any renal-related factors contributing to urinary incontinence.

Coding Guidelines

Inclusion Criteria

Use N39.498 When
  • According to ICD
  • 10 coding guidelines, N39
  • 498 should be used when the urinary incontinence is specified as 'other' and does not fit into the defined categories
  • Coders must ensure that the documentation supports the diagnosis and that the incontinence is not due to a more specific condition that has its own code

Exclusion Criteria

Do NOT use N39.498 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

Detailed report of urodynamic findings and correlation with symptoms.

Specialty Considerations

Urologists should ensure that the urodynamic study results are clearly linked to the diagnosis of urinary incontinence.

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 the ability to capture cases like N39.498, which reflects a broader range of underlying causes. This specificity can improve patient care by ensuring that the appropriate treatment and management strategies are employed.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urinary incontinence, including the ability to capture cases like N39.498, which reflects a broader range of underlying causes. This specificity can improve patient care by ensuring that the appropriate treatment and management strategies are employed.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urinary incontinence, including the ability to capture cases like N39.498, which reflects a broader range of underlying causes. This specificity can improve patient care by ensuring that the appropriate treatment and management strategies are employed.

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 N39.498?

N39.498 can be used for urinary incontinence resulting from conditions such as urethritis, urethral stricture, or other urinary system disorders that do not fit into the more specific categories of incontinence.