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ICD-10 Coding for Mixed Urinary Incontinence(N39.46)

Complete ICD-10-CM coding and documentation guide for Mixed Urinary Incontinence. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Mixed IncontinenceStress and Urge Incontinence

Related ICD-10 Code Ranges

Complete code families applicable to Mixed Urinary Incontinence

N39.3-N39.46Primary Range

Codes for urinary incontinence conditions

This range includes codes for different types of urinary incontinence, with N39.46 specifically for mixed urinary incontinence.

Key Information: ICD-10 code for mixed urinary incontinence

Essential facts and insights about Mixed Urinary Incontinence

The ICD-10 code for mixed urinary incontinence is N39.46, covering conditions with both stress and urge components.

Primary ICD-10-CM Code for mixed urinary incontinence

Mixed incontinence
Billable Code

Decision Criteria

clinical Criteria

  • Presence of both stress and urge symptoms

documentation Criteria

  • Explicit documentation of stress and urge components

Applicable To

  • Incontinence with both stress and urge components

Excludes

  • Stress incontinence without urge (N39.3)
  • Urge incontinence without stress (N39.41)

Clinical Validation Requirements

  • Documentation of both stress and urge components
  • Urodynamic testing confirming detrusor overactivity and stress incontinence

Code-Specific Risks

  • Incorrectly using N39.46 without documentation of both components

Coding Notes

  • Ensure both stress and urge components are documented to validate N39.46.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Frequency of micturition

R35.0
Use if urinary frequency is ≥8 times per day.

Nocturia

R35.1
Use if there are ≥2 nightly voids.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Stress incontinence

N39.3
Use only if there is no urgency component.

Urge incontinence

N39.41
Use only if there is no stress component.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Mixed Urinary Incontinence to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N39.46.

Impact

Clinical: Leads to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify stress and urge components in documentation.

Impact

Reimbursement: May lead to denied claims if not properly documented., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of patient condition.

Mitigation Strategy

Ensure documentation explicitly states both components.

Impact

Risk of audit if both components are not documented.

Mitigation Strategy

Ensure comprehensive documentation of stress and urge symptoms.

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 Mixed Urinary Incontinence, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Mixed Urinary Incontinence

Use these documentation templates to ensure complete and accurate documentation for Mixed Urinary Incontinence. These templates include all required elements for proper coding and billing.

Mixed urinary incontinence in a urology setting

Specialty: Urology

Required Elements

  • Patient history of stress and urge symptoms
  • Urodynamic test results
  • Bladder diary

Example Documentation

Patient reports leakage with coughing and sudden urgency. Urodynamics confirm detrusor overactivity.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has mixed incontinence.
Good Documentation Example
Patient experiences leakage with coughing and sudden urgency. Urodynamics confirm detrusor overactivity.
Explanation
The good example provides specific symptoms and test results, supporting the use of N39.46.

Need help with ICD-10 coding for Mixed Urinary Incontinence? Ask your questions below.

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