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R32 vs R39.81

R32 (Unspecified urinary incontinence) compared with R39.81 (Functional urinary incontinence), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. R32 carries an Excludes1 note covering R39.81: “functional urinary incontinence (R39.81)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R32 carries an Excludes1 note covering R39.81: “urinary incontinence associated with cognitive impairment (R39.81)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R39.81 carries an Excludes1 note covering R32: “urinary incontinence NOS (R32)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

R32Unspecified urinary incontinenceR39.81Functional urinary incontinence
Billing statusBillableBillable
ClassificationR00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionUnspecified urinary incontinence is a billable ICD-10-CM diagnosis code (R32).Functional urinary incontinence is a billable ICD-10-CM diagnosis code (R39.81).
Includes
Enuresis NOS
Urinary incontinence due to cognitive impairment, or severe physical disability or immobility

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources