ICD-10 Coding for Enuresis(N39.44, F98.0, R32)
Complete ICD-10-CM coding and documentation guide for Enuresis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Enuresis
N39.4-N39.49Primary Range
Other specified urinary incontinence
Includes specific types of urinary incontinence, such as nocturnal enuresis.
Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence
Includes non-organic enuresis, focusing on psychological or behavioral causes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N39.44 | Nocturnal enuresis | Use for organic nocturnal enuresis with confirmed bladder dysfunction or neurological causes. |
|
| F98.0 | Non-organic enuresis | Use for enuresis with psychological or behavioral etiology after ruling out physiological causes. |
|
| R32 | Unspecified urinary incontinence | Use only when the type of incontinence is unspecified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for nocturnal enuresis
Essential facts and insights about Enuresis
Primary ICD-10-CM Codes for enuresis
Decision Criteria
clinical Criteria
- Presence of nocturnal polyuria and small bladder capacity.
coding Criteria
- Avoid using if psychological factors are primary.
Applicable To
- Monosymptomatic nocturnal enuresis
Excludes
- Non-organic enuresis (F98.0)
Clinical Validation Requirements
- Documented nocturnal polyuria
- Small bladder capacity
- Abnormal urodynamic studies
Code-Specific Risks
- Misuse when psychological factors are present without organic causes.
Coding Notes
- Ensure documentation supports organic causes for enuresis.
F98.0 - Non-organic enuresis
Use for enuresis with psychological or behavioral etiology after ruling out physiological causes.
Applicable To
- Primary and secondary non-organic enuresis
Excludes
- Nocturnal enuresis (N39.44)
Clinical Validation Requirements
- Exclusion of medical causes
- Documented psychological evaluation
Coding Notes
Ensure psychological evaluation is documented.
R32 - Unspecified urinary incontinence
Use only when the type of incontinence is unspecified.
Excludes
- Specific types of urinary incontinence
Clinical Validation Requirements
- Lack of specific diagnosis for type of incontinence
Coding Notes
Avoid if specific type of incontinence can be identified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Polyuria
R35.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Enuresis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.44.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify type and etiology of enuresis., Include supporting clinical findings.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data.
Mitigation Strategy
Replace with N39.44 or F98.0 based on etiology.
Impact
Reimbursement: Potential denial of claims., Compliance: Failure to meet documentation standards., Data Quality: Incomplete patient records.
Mitigation Strategy
Query for psychological factors contributing to enuresis.
Impact
Using R32 instead of more specific codes.
Mitigation Strategy
Educate coders on specific criteria for enuresis codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Enuresis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Enuresis
Use these documentation templates to ensure complete and accurate documentation for Enuresis. These templates include all required elements for proper coding and billing.
Pediatric enuresis evaluation
Specialty: PediatricsRequired Elements
- Subjective history of bedwetting
- Objective findings from urinalysis
- Assessment of enuresis type
- Plan for treatment and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Enuresis? Ask your questions below.