N36.42
BillableIntrinsic sphincter deficiency (ISD)
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A condition where the urethral sphincter muscle is weak or does not function properly, leading to involuntary urine leakage, especially during activities that increase abdominal pressure.
Coding Tips
- •ISD is a primary cause of stress urinary incontinence; document whether it is primary or secondary (post-surgical)
- •This diagnosis is typically confirmed through urodynamic studies; ensure testing results are documented
Code Hierarchy
└N36Other disorders of urethra└N36.4Urethral functional and muscular disorders└N36.42Intrinsic sphincter deficiency (ISD)
└N36.42Intrinsic sphincter deficiency (ISD)