2027 ICD-10-CM Diagnosis Code N39.491Coital incontinence
ICD-10-CM Codes›N00–N99›N30-N39›N39
- Billable — Valid for Submission
- Chronic Condition
N39.491 is a billable ICD-10-CM diagnosis code for coital incontinence. 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
Code Classification
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to N39.491: 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.
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.
- 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.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name N39.491, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming N39.491: they are not reported together with it, unless the two conditions are unrelated.
Use Additional Code 3
These codes say to use an additional code from the note, and N39.491 is one of the codes named.
- N40.1 Benign prostatic hyperplasia with lower urinary tract symptomsurinary incontinence (N39.4-) names N39.4-, which includes this code
- N40.3 Nodular prostate with lower urinary tract symptomsurinary incontinence (N39.4-) names N39.4-, which includes this code
- N31 Neuromuscular dysfunction of bladder, not elsewhere classified
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
coital N39.491
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 N39.491 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement N39.491 replaces the following previously assigned code(s):
- N39.498 - Other specified urinary incontinence
Questions About N39.491Overview
What is the ICD-10 code for coital incontinence?
The ICD-10-CM code for coital incontinence is N39.491 (sometimes written as N39491). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is N39.491 (Other specified urinary incontinence) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report coital incontinence on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does N39.491 group to?
When coital incontinence 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 N39.491 be reported with R32?
Not as a rule. The Excludes1 note at N39.4, which applies to N39.491, 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 N39.491?
Under the General Equivalence Mappings, coital incontinence converts to ICD-9-CM 788.39 (oth urinry incontinence). The mapping is approximate, so confirm the match fits the documentation.
