2025 ICD-10-CM code N39.3
Stress incontinence in both male and female patients.This code also includes any associated overactive bladder.
Medical necessity for treatment is established by documenting the impact of stress incontinence on the patient's quality of life, interfering with daily activities or social interactions. Treatment aims to improve bladder control and reduce leakage episodes.
Clinicians should evaluate the type and severity of stress incontinence, considering factors such as childbirth, prostate surgery, nerve injuries, being overweight, smoking, and chronic cough. They should also assess the impact on the patient's quality of life.
In simple words: Stress incontinence is when you accidentally leak urine because of pressure on your bladder, like when you cough, laugh, or exercise.
Stress incontinence (female) (male). Code also any associated overactive bladder (N32.81).Excludes1: mixed incontinence (N39.46). Parent Code Notes: N39. Excludes2: hematuria NOS (R31.-) recurrent or persistent hematuria (N02.-) recurrent or persistent hematuria with specified morphological lesion (N02.-) proteinuria NOS (R80.-)
Example 1: A 35-year-old female patient reports leaking urine when coughing or sneezing after giving birth to her second child. This is consistent with stress incontinence related to childbirth., A 65-year-old male patient experiences urine leakage during exercise after undergoing a prostatectomy for prostate cancer. This suggests stress incontinence related to prostate surgery., A 50-year-old female patient with no history of childbirth or pelvic surgery reports occasional urine leakage during high-impact activities. Further evaluation may be needed to confirm stress incontinence and rule out other causes.
Documentation should include the type of incontinence, frequency, severity, and associated symptoms.It should also include relevant history such as childbirth, surgeries, other medical conditions and medications. Patient's reported impact on their quality of life is essential.Physical exam findings, including pelvic exam for women and digital rectal exam for men, should be noted. Urodynamic studies, if performed, should be documented as well.
- Specialties:Urology, Obstetrics and Gynecology, Family Medicine, Geriatrics, Physical Therapy
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Nursing Facility