N39.42
N39.42: Incontinence without sensory awareness
Billable / specific codeICD-10-CM
N39.42 is a billable, specific ICD-10-CM code for incontinence without sensory awareness. It is valid for submission on a claim.
Check N39.42 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Insensible (urinary) incontinence
Excludes1 inherited from the categories above N39.42
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above N39.42
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N39.42 is named in 31 Medicare coverage policies: 30 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Incontinence›insensible(urinary)
- Incontinence›urine›insensible
- Incontinence›urine›unaware
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.