2025 ICD-10-CM code N39.46
(Valid) Effective Date: N/A Diseases of the genitourinary system - Other diseases of the urinary system N00-N99 Feed
Mixed incontinence.A combination of stress and urge incontinence.
Medical necessity for treatment of mixed incontinence is established by the documentation of the symptoms' impact on the patient's quality of life and the failure of conservative management strategies.
Clinicians are responsible for accurately documenting the patient's symptoms and performing a physical examination to support the diagnosis of mixed incontinence. Further investigation might include a voiding diary, urinalysis, and urodynamic studies. The management plan should be tailored to the individual patient and may involve lifestyle modifications, pelvic floor exercises, bladder training, medications, and/or surgery.
- N00-N99
- N39 Other disorders of urinary systemN39.4 Other specified urinary incontinenceN39.46 Mixed incontinence
In simple words: Mixed incontinence means you experience both stress incontinence (leaking urine when you cough, sneeze, or exercise) and urge incontinence (a sudden, strong need to urinate followed by leaking).
Mixed incontinence is the presence of both stress and urge incontinence.Stress incontinence involves involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. Urge incontinence is characterized by a sudden, intense urge to urinate, followed by an involuntary loss of urine.
Example 1: A 65-year-old female patient reports experiencing both involuntary urine leakage when coughing or sneezing and a frequent, sudden urge to urinate followed by leakage.She is diagnosed with mixed incontinence., A 70-year-old male patient with a history of prostate surgery now experiences symptoms of stress and urge incontinence, consistent with mixed incontinence., A 50-year-old female patient reports urine leakage during exercise and a sudden, uncontrollable urge to urinate. After a thorough evaluation, she receives a diagnosis of mixed incontinence.
Documentation should include detailed descriptions of the patient's symptoms, including the frequency, severity, and circumstances of urine leakage.The presence of both stress and urge incontinence symptoms must be clearly documented.Any associated conditions, such as overactive bladder, should also be noted.
- Specialties:Urology, Obstetrics and Gynecology, Geriatrics, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Nursing Facility