2025 ICD-10-CM code F98.0

Enuresis not due to a substance or known physiological condition. This refers to involuntary urination, particularly bedwetting, in individuals beyond the age where bladder control is typically expected, and not caused by a medical condition or substance use.

Do not use F98.0 if the enuresis is due to a known medical condition, substance use, or medication side effects.Use a more specific code if the type of incontinence is known (e.g., stress or urge incontinence).Also, do not code R32 (Enuresis NOS) along with F98.0.

Medical necessity for F98.0 must be established by documenting the impact of enuresis on the patient's quality of life, including social, emotional, and behavioral consequences. Treatment is considered medically necessary when it aims to improve bladder control, reduce the frequency of accidents, and address any associated psychological or behavioral concerns.

Diagnosis and management of enuresis, including assessment of medical history, physical examination, and behavioral or psychological evaluation to determine the underlying cause and appropriate treatment strategies.

In simple words: Bedwetting or daytime wetting in children and sometimes adults, not caused by a medical problem or medication. It's considered normal until around age 5, but can sometimes persist beyond this age for various reasons.

Enuresis not due to a substance or known physiological condition encompasses primary or secondary enuresis of nonorganic origin, including functional or psychogenic enuresis, and urinary incontinence of nonorganic origin.It excludes enuresis NOS (R32), breath-holding spells (R06.89), gender identity disorder of childhood (F64.2), Kleine-Levin syndrome (G47.13), obsessive-compulsive disorder (F42.-), and sleep disorders (F51.-).

Example 1: A 6-year-old child who has never achieved consistent nighttime dryness and has no underlying medical condition would be diagnosed with F98.0 (primary enuresis)., An 8-year-old child who was previously dry for at least six months but begins wetting the bed again following a stressful life event, such as the death of a family member, could be coded as F98.0 (secondary enuresis)., A 10-year-old child experiences daytime wetting, along with nighttime wetting, without any identified physical cause, and may be diagnosed with F98.0, which encompasses both nocturnal and diurnal enuresis.

Documentation should include details about the frequency, duration, and timing of enuresis episodes, as well as any associated symptoms, relevant medical history, family history, results of physical examination and urinalysis, and any psychological or behavioral factors contributing to the condition.It is crucial to rule out other medical conditions before assigning F98.0.

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