ICD-10 Coding for Neurogenic Bladder(N31.0, N31.1)
Complete ICD-10-CM coding and documentation guide for Neurogenic Bladder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neurogenic Bladder
N31.0-N31.9Primary Range
Neuromuscular dysfunction of bladder
This range covers all types of neurogenic bladder dysfunctions, including specific types like reflex and flaccid bladder.
Other specified urinary incontinence
These codes are used to specify types of urinary incontinence associated with neurogenic bladder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N31.0 | Uninhibited neuropathic bladder, not elsewhere classified | Use when documentation specifies uninhibited bladder contractions, often post-stroke or Parkinson’s. |
|
| N31.1 | Reflex neuropathic bladder | Use when reflex bladder dysfunction is due to spinal cord injury above T10. |
|
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 neurogenic bladder
Essential facts and insights about Neurogenic Bladder
Primary ICD-10-CM Codes for neurogenic bladder
Decision Criteria
clinical Criteria
- Presence of uninhibited bladder contractions on urodynamic study
Applicable To
- Uninhibited bladder contractions
Excludes
- Non-neuropathic bladder dysfunction
Clinical Validation Requirements
- Urodynamic study showing uninhibited bladder contractions
Code-Specific Risks
- Incorrectly coding when the type of bladder dysfunction is not specified
Coding Notes
- Ensure documentation specifies uninhibited bladder contractions.
N31.1 - Reflex neuropathic bladder
Use when reflex bladder dysfunction is due to spinal cord injury above T10.
Applicable To
- Detrusor-sphincter dyssynergia
Excludes
- Non-reflex bladder dysfunction
Clinical Validation Requirements
- EMG showing hyperreflexic detrusor contractions
Coding Notes
Document reflex bladder dysfunction with specific etiology.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neurogenic Bladder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N31.0.
Impact
Clinical: May lead to inappropriate treatment, Regulatory: Increased risk of audit issues, Financial: Potential for reduced reimbursement
Mitigation Strategy
Use specific clinical terms, Document diagnostic test results
Impact
Reimbursement: Potential lower reimbursement due to unspecified coding, Compliance: Risk of audit failure for lack of specificity, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Query for specific type of neurogenic bladder
Impact
High risk of audit if unspecified codes are used without justification
Mitigation Strategy
Ensure documentation specifies the type of neurogenic bladder
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 Neurogenic Bladder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neurogenic Bladder
Use these documentation templates to ensure complete and accurate documentation for Neurogenic Bladder. These templates include all required elements for proper coding and billing.
Urology Progress Note
Specialty: UrologyRequired Elements
- Subjective symptoms
- Objective findings
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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