MCMedicalCodingSoftware
N39.491

N39.491: Coital incontinence

Billable / specific codeICD-10-CM

N39.491 is a billable, specific ICD-10-CM code for coital incontinence. It is valid for submission on a claim.

Check N39.491 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above N39.491

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 N39.491

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.-)

Risk adjustment

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

Medicare coverage

N39.491 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A54095Billing and Coding: Nerve Conduction Studies and Electromyography
  • A57123Billing and Coding: Nerve Conduction Studies and Electromyography
  • A57185Billing and Coding: Botulinum Toxin Injections
  • A57186Billing and Coding: Botulinum Toxin Injections

Alphabetic index entries that lead here

  • Incontinence›coital

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under N39.49

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.