N36.42
N36.42: Intrinsic sphincter deficiency (ISD)
Billable / specific codeICD-10-CM
N36.42 is a billable, specific ICD-10-CM code for intrinsic sphincter deficiency (isd). It is valid for submission on a claim.
Check N36.42 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N36.42 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A56802Billing and Coding: Urodynamics
- A57123Billing and Coding: Nerve Conduction Studies and Electromyography
- A57455Billing and Coding: Urodynamics
Alphabetic index entries that lead here
- Deficiency, deficient›sphincter, intrinsic
- Deficiency, deficient›intrinsic›sphincter
Code history
Unchanged in every release from FY2024 to FY2027.