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N36.42

Billable

Intrinsic 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

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