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F98.0

Billable

Enuresis not due to a substance or known physiological condition

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Involuntary urination during sleep or waking hours in children or adults that is not caused by medical conditions, medications, or other substances.

Coding Tips

  • Ensure medical causes (urinary tract infections, diabetes, sleep apnea) have been ruled out before coding this diagnosis
  • Specify whether the enuresis is nocturnal (nighttime), diurnal (daytime), or both in clinical documentation

Excludes 1 — Do NOT code together

  • enuresis NOS (R32)

Code Hierarchy

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