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ICD-10-CM N39.41: Urge incontinence

N39.41 is the billable ICD-10-CM code for urge incontinence, in category N39 (Other disorders of urinary system) of the Other diseases of the urinary system section. As a principal diagnosis it groups to MS-DRG 695 Kidney and Urinary Tract Signs and Symptoms with MCC, MS-DRG 696 Kidney and Urinary Tract Signs and Symptoms without MCC (MDC 11 MDC 11: Diseases and Disorders of the Kidney and Urinary Tract). 30 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
N39.41
billable FY2027 ICD-10-CM code
Category
N39 Other disorders of urinary system
Chapter
14: Diseases of the genitourinary system (N00-N99)
CC/MCC (MS-DRG v44)
Neither
CMS-HCC V28
Not mapped
POA reporting
Required

Tabular list notes for N39.41

The tabular list has no notes on N39.41 itself; the notes below apply from its parent headings.

Inherited from N39 (Other disorders of urinary system)

Excludes2 (not part of this condition, may be coded together)
  • hematuria NOS (R31.-)
  • recurrent or persistent hematuria (N02.-)
  • recurrent or persistent hematuria with specified morphological lesion (N02.-)
  • proteinuria NOS (R80.-)

Inherited from N39.4 (Other specified urinary incontinence)

Excludes1 (never coded together)
  • 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)
Code also
  • any associated overactive bladder (N32.81)

MS-DRG grouping when N39.41 is the principal diagnosis

MS-DRG v44 groups for N39.41 as principal diagnosis
MDCMS-DRGs
11 MDC 11: Diseases and Disorders of the Kidney and Urinary Tract695696

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for N39.41 shows the full grouping logic.

CC/MCC status and inpatient edits

N39.41 is neither a CC nor an MCC under MS-DRG v44, so as a secondary diagnosis it does not raise the MS-DRG severity level. Check N39.41 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

N39.41 does not map to a payment HCC in the PY2027 CMS-HCC V28 model, so on its own it does not change a Medicare Advantage risk score.

LCD billing and coding articles that list N39.41

30 current Medicare billing and coding articles list N39.41 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM N39.41 mean?

N39.41 means urge incontinence. It is one of 14 billable codes under N39, other disorders of urinary system.

What can't be coded with N39.41?

Excludes1 at N39.4: enuresis NOS (R32); functional urinary incontinence (R39.81); urinary incontinence associated with cognitive impairment (R39.81); urinary incontinence NOS (R32) and 1 more. These are never reported together with N39.41.

Which MS-DRG does N39.41 group to?

As the principal diagnosis, N39.41 groups to MS-DRG 695 Kidney and Urinary Tract Signs and Symptoms with MCC, MS-DRG 696 Kidney and Urinary Tract Signs and Symptoms without MCC (MDC 11 MDC 11: Diseases and Disorders of the Kidney and Urinary Tract) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.