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N36.43

Billable

Combined hypermobility of urethra and intrinsic sphincter deficiency

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

What This Code Means

A condition where the urethra is overly flexible and the muscle that controls urine flow is weak, leading to urinary leakage.

Coding Tips

  • This code combines two separate urethral problems; ensure documentation clearly describes both hypermobility and sphincter deficiency
  • Commonly associated with stress incontinence; verify if stress incontinence is also documented separately to avoid duplicate coding

Code Hierarchy

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