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N39.46

N39.46: Mixed incontinence

Billable / specific codeICD-10-CM

N39.46 is a billable, specific ICD-10-CM code for mixed incontinence. It is valid for submission on a claim.

Check N39.46 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Urge and stress incontinence

Excludes1 inherited from the categories above N39.46

A category’s note binds every code beneath it.

Written on N39.4: Other specified urinary incontinence

  • enuresis NOS (R32)
  • functional urinary incontinence (R39.81)
  • urinary incontinence associated with cognitive impairment (R39.81)
  • urinary incontinence NOS (R32)
  • urinary incontinence of nonorganic origin (F98.0)

Excludes2 inherited from the categories above N39.46

Not part of this code, but both may be coded when both are present.

Written on N39: Other disorders of urinary system

  • hematuria NOS (R31.-)
  • recurrent or persistent hematuria (N02.-)
  • recurrent or persistent hematuria with specified morphological lesion (N02.-)
  • proteinuria NOS (R80.-)

Other codes that can never be billed with N39.46

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • N39.3Stress incontinence (female) (male)
  • N39.41Urge incontinence
  • R39.15Urgency of urination

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N39.46 is named in 35 Medicare coverage policies: 34 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
  • A53026Billing and Coding: Bariatric Surgery Coverage
  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53058Billing and Coding: Home Health Physical Therapy

Alphabetic index entries that lead here

  • Incontinence›stress›and urge
  • Incontinence›urge›and stress(female) (male)
  • Incontinence›urine›mixed(stress and urge)
  • Incontinence›urine›stress›and urge
  • Incontinence›urine›urge›and stress(female) (male)

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under N39.4

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.