Neuromuscular dysfunction of bladder, not elsewhere classified (N31)

The N31 ICD-10 code section covers neuromuscular dysfunctions of the bladder that do not fit into other specific categories. These codes are used to identify various types of bladder control problems caused by nerve or muscle issues affecting normal bladder function.

This section includes codes for different forms of neurogenic bladder conditions such as N31.0 for uninhibited neuropathic bladder (also called uninhibited neurogenic urinary bladder), where the bladder contracts uncontrollably; N31.1 for reflex neuropathic bladder characterized by involuntary reflex bladder contractions; and N31.2 which covers flaccid neuropathic bladder, with synonyms like atonic or hypotonic bladder where the muscles fail to contract properly. The code N31.8 is used for other bladder neuromuscular dysfunctions including both spastic and noncompliant bladder types, often linked to abnormal sensations or muscle underactivity. Finally, N31.9 denotes unspecified bladder neuromuscular dysfunctions and encompasses a broad range of conditions, including neurogenic bladder related to spinal cord injuries, poliomyelitis, or cerebrovascular accidents. Understanding these distinctions helps medical coders select the correct ICD-10 code for neuromuscular bladder dysfunction based on patient symptoms and clinical findings.

Instructional Notations

Use Additional Code

The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

  • code to identify any associated urinary incontinence N39.3 N39.4

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • cord bladder NOS G95.89
  • neurogenic bladder due to cauda equina syndrome G83.4
  • neuromuscular dysfunction due to spinal cord lesion G95.89