N39.491 — Coital incontinence
N39.491 is a billable, specific ICD-10-CM code for coital incontinence. It is valid for submission on a claim.
Risk adjustment
N39.491 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
N39.491 is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How N39.491 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 N39.491.
- Incontinence›coital
Related codes at this level
Codes that share N39.49. If N39.491 is not quite right, the correct code is usually one of these.
Questions about N39.491
- Is N39.491 a billable ICD-10-CM code?
- Yes. N39.491 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N39.491 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).