N39.42 — Incontinence without sensory awareness
N39.42 is a billable, specific ICD-10-CM code for incontinence without sensory awareness. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Insensible (urinary) incontinence
Risk adjustment
N39.42 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N39.42 is named in 33 Medicare coverage policies — 32 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How N39.42 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N39.42.
- Incontinence›insensible(urinary)
- Incontinence›urine›insensible
- Incontinence›urine›unaware
Related codes at this level
Codes that share N39.4. If N39.42 is not quite right, the correct code is usually one of these.
Questions about N39.42
- Is N39.42 a billable ICD-10-CM code?
- Yes. N39.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N39.42 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).