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2025 ICD-10-CM code N39.45

Continuous urinary leakage.

The ICD-10-CM guidelines should be followed in conjunction with the official coding manual.Correct coding requires accurate documentation of the clinical findings and the appropriate selection of the code based on the specificity of the clinical picture.

Modifiers may be applicable depending on the specific circumstances of the visit, service provided and place of service.Consult the official modifier guidelines for clarification.

Medical necessity for this code is established through a documented history of continuous urinary leakage, significantly impacting the patient's quality of life.The documentation should support the need for further investigation and intervention to determine the etiology and manage the condition. Appropriate clinical workup and justification for the chosen treatment should be documented.

Urologist or other qualified healthcare professional specializing in urinary tract conditions.

IMPORTANT Consider also coding any associated overactive bladder (N32.81).

In simple words: This code means a person has a constant leak of urine.It's not the same as leaking only when coughing or sneezing.

N39.45 in the ICD-10-CM classification denotes continuous urinary leakage.This code is used to specify a condition of persistent, uncontrolled urine loss, distinct from other forms of urinary incontinence.It's crucial to differentiate this from intermittent or stress incontinence and to document the presence of continuous leakage.

Example 1: A 70-year-old female patient presents with a history of continuous urinary leakage for the past six months, unresponsive to conservative management.A thorough history, physical examination, and urodynamic studies are performed to assess the underlying cause., A 45-year-old male patient post-prostatectomy experiences continuous urinary leakage requiring further investigation and intervention, including possible surgical repair., A 28-year-old female patient reports continuous urinary leakage after childbirth.Assessment includes a pelvic floor muscle evaluation and potential physiotherapy recommendations.

Complete medical history detailing the onset, duration, and character of the urinary leakage.Results of relevant investigations, including physical examination findings, urinalysis, uroflowmetry, urodynamic studies, and imaging (if performed).Details of any prior treatments or interventions.

** This code should be used with caution and only when continuous urinary leakage is clearly documented.It's important to differentiate this code from other forms of urinary incontinence (e.g., stress incontinence, urge incontinence, mixed incontinence).

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