N39.46 — Mixed incontinence
N39.46 is a billable, specific ICD-10-CM code for mixed incontinence. It is valid for submission on a claim.
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
These are not written on N39.46, but they bind it: a note on a category applies to every code beneath it. Billing N39.46 with anything listed here is a denial.
Excludes2 inherited from the categories above N39.46
Also inherited, and the opposite of Excludes1: these conditions are not part of N39.46, but a patient can have both, so you may code both.
Other codes that can never be billed with N39.46
These codes carry an Excludes1 note pointing at N39.46. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N39.46 alone.
Risk adjustment
N39.46 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
N39.46 is named in 39 Medicare coverage policies — 38 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
- A53026Billing and Coding: Bariatric Surgery Coverage
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
How N39.46 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 N39.46.
- 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
Every code for the condition on one page, which one applies when, and the mistake coders make with it.
Code history
N39.46 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share N39.4. If N39.46 is not quite right, the correct code is usually one of these.
Questions about N39.46
- Is N39.46 a billable ICD-10-CM code?
- Yes. N39.46 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N39.46 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).
- What cannot be coded together with N39.46?
- N39.46 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N39.46 (N39.4) and apply to it just the same.