2027 ICD-10-CM Diagnosis Code N39.45Continuous leakage

ICD-10-CM Codes›N00–N99›N30-N39›N39

ICD-10-CM N39.45
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N39.45 is a billable ICD-10-CM diagnosis code for continuous leakage. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 695 through 696. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Urinary incontinence.

Code Identity

ICD-10-CM Code
N39.45
Billable Status
Yes — Valid for Submission
Code Describes
Continuous leakage
Short Description
Continuous leakage
Same as the full description in the CMS dataset.
Parent Code
Other specified urinary incontinence

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN30-N39Other diseases of the urinary system
CategoryN39Other disorders of urinary system
This CodeN39.45Continuous leakage

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N39.45: its own notes plus those printed at N39.4, N39, block N30-N39, and Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From N39.4 Other specified urinary incontinence applies to 10 codes
  • 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

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From N39 Other disorders of urinary system applies to 14 codes
  • hematuria NOS (R31.-)
  • recurrent or persistent hematuria (N02.-)
  • recurrent or persistent hematuria with specified morphological lesion (N02.-)
  • proteinuria NOS (R80.-)
From Block N30-N39 Other diseases of the urinary system applies to 85 codes
  • urinary infection (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)
From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From N39.4 Other specified urinary incontinence applies to 10 codes
  • any associated overactive bladder (N32.81)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N39.45, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming N39.45: they are not reported together with it, unless the two conditions are unrelated.

  • R32 Unspecified urinary incontinence
    stress incontinence and other specified urinary incontinence (N39.3-N39.4-) names N39.3-N39.4, which includes this code
  • R39.81 Functional urinary incontinence
    stress incontinence and other specified urinary incontinence (N39.3-N39.4-) names N39.3-N39.4, which includes this code

Use Additional Code 3

These codes say to use an additional code from the note, and N39.45 is one of the codes named.

  • N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms
    urinary incontinence (N39.4-) names N39.4-, which includes this code
  • N40.3 Nodular prostate with lower urinary tract symptoms
    urinary incontinence (N39.4-) names N39.4-, which includes this code
  • N31 Neuromuscular dysfunction of bladder, not elsewhere classified
    code to identify any associated urinary incontinence (N39.3-N39.4-) names N39.3-N39.4, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN008
Urinary incontinence
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Urinary Incontinence

Urinary incontinence (UI) is the loss of bladder control, or being unable to control urination. It is a common condition. It can range from being a minor problem to something that greatly affects your daily life. In any case, it can get better with proper treatment.

The full article covers:

  • What is urinary incontinence (UI)?
  • What are the types of urinary incontinence (UI)?
  • Who is at risk for urinary incontinence (UI)?
  • How is urinary incontinence (UI) diagnosed?
  • What are the treatments for urinary incontinence (UI)?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N39.45 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
788.37 Continuous leakage
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N39.45Overview

What is the ICD-10 code for continuous leakage?

The ICD-10-CM code for continuous leakage is N39.45 (sometimes written as N3945). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N39.45 (Other specified urinary incontinence) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report continuous leakage on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N39.45 group to?

When continuous leakage is the principal diagnosis on an inpatient stay, it groups to MS-DRG 696, 695, with relative weights from 0.6677 to 1.1136 depending on complications. Higher weights mean higher Medicare reimbursement.

Can N39.45 be reported with R32?

Not as a rule. The Excludes1 note at N39.4, which applies to N39.45, lists "enuresis NOS (R32)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of N39.45?

Under the General Equivalence Mappings, continuous leakage converts to ICD-9-CM 788.37 (continuous leakage). The mapping is a direct match.