ICD-10 Coding for Neuropathic Bladder(N31.0, N31.1, N31.2, N31.8, N31.9)
Complete ICD-10-CM coding and documentation guide for Neuropathic Bladder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neuropathic Bladder
N31.0-N31.9Primary Range
Neuropathic Bladder
This range covers various types of neuropathic bladder conditions, including uninhibited, reflex, flaccid, and unspecified types.
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 urodynamic studies show uninhibited bladder contractions without sphincter dyssynergia. |
|
| N31.1 | Reflex neuropathic bladder, not elsewhere classified | Use when reflex bladder is confirmed by urodynamic studies showing detrusor-sphincter dyssynergia. |
|
| N31.2 | Flaccid neuropathic bladder, not elsewhere classified | Use when flaccid bladder is confirmed by urodynamic studies showing atonic detrusor and high post-void residual. |
|
| N31.8 | Other neuropathic bladder, not elsewhere classified | Use for rare subtypes confirmed by specific urodynamic findings. |
|
| N31.9 | Neuropathic bladder, unspecified | Use only when specific type cannot be determined. |
|
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 neuropathic bladder
Essential facts and insights about Neuropathic Bladder
Primary ICD-10-CM Codes for neuropathic bladder
Decision Criteria
clinical Criteria
- Uninhibited bladder contractions confirmed by urodynamics
Applicable To
- Uninhibited bladder due to brain/CNS lesions
Excludes
- Overactive bladder (N32.81)
Clinical Validation Requirements
- Uninhibited contractions on urodynamics
- No sphincter dyssynergia
Code-Specific Risks
- Misclassification if sphincter dyssynergia is present
Coding Notes
- Ensure documentation specifies uninhibited bladder type.
N31.1 - Reflex neuropathic bladder, not elsewhere classified
Use when reflex bladder is confirmed by urodynamic studies showing detrusor-sphincter dyssynergia.
Applicable To
- Reflex bladder due to spinal cord lesions above T10
Excludes
- Flaccid bladder (N31.2)
Clinical Validation Requirements
- Detrusor-sphincter dyssynergia
- Hyperreflexia on cystometrogram
Coding Notes
Document specific reflex type and confirm with urodynamic findings.
N31.2 - Flaccid neuropathic bladder, not elsewhere classified
Use when flaccid bladder is confirmed by urodynamic studies showing atonic detrusor and high post-void residual.
Applicable To
- Flaccid bladder due to peripheral nerve damage
Excludes
- Reflex bladder (N31.1)
Clinical Validation Requirements
- Atonic detrusor
- Post-void residual >300mL
Coding Notes
Ensure documentation specifies flaccid bladder type.
N31.8 - Other neuropathic bladder, not elsewhere classified
Use for rare subtypes confirmed by specific urodynamic findings.
Applicable To
- Autonomous neuropathic bladder
Excludes
- Unspecified neuropathic bladder (N31.9)
Clinical Validation Requirements
- Autonomous neuropathic bladder per urodynamics
Coding Notes
Document specific subtype and confirm with urodynamic findings.
N31.9 - Neuropathic bladder, unspecified
Use only when specific type cannot be determined.
Excludes
- Specific types of neuropathic bladder (N31.0-N31.8)
Clinical Validation Requirements
- Lack of specific urodynamic findings
Coding Notes
Avoid use without specific documentation.
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.
Overactive bladder
N32.81Flaccid neuropathic bladder
N31.2Reflex neuropathic bladder
N31.1Unspecified neuropathic bladder
N31.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neuropathic 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: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on documentation requirements., Use templates that prompt for specific details.
Impact
Reimbursement: Potential for reduced reimbursement due to unspecified coding., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased data quality and specificity.
Mitigation Strategy
Ensure specific type is documented and use appropriate code.
Impact
High risk of audit if N31.9 is overused.
Mitigation Strategy
Ensure specific documentation and use of appropriate 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 Neuropathic Bladder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neuropathic Bladder
Use these documentation templates to ensure complete and accurate documentation for Neuropathic Bladder. These templates include all required elements for proper coding and billing.
Reflex neuropathic bladder in spinal cord injury
Specialty: UrologyRequired Elements
- Urodynamic findings
- Neurologic etiology
- Post-void residual volume
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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