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N39.490 ICD-10-CM Code: Overflow incontinence

Compare with another code for N39.490Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Official instructions
5 Excludes1 · 7 Excludes2 · 1 code-also instruction

What these terms mean →

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes1from N39.4Not reported with this code unless documented as unrelated
  • enuresis NOS (R32)
  • functional urinary incontinence (R39.81)
  • urinary incontinence associated with cognitive impairment (R39.81)
  • urinary incontinence NOS (R32)

+1 more in Instructions

Code alsofrom N39.4May be needed with this code
  • any associated overactive bladder (N32.81)
Excludes2Not included here; may be reported together
  • hematuria NOS (R31.-) (from N39)
  • recurrent or persistent hematuria (N02.-) (from N39)
  • recurrent or persistent hematuria with specified morphological lesion (N02.-) (from N39)
  • proteinuria NOS (R80.-) (from N39)

+3 more in Instructions

Where it sits Source: CMS/NCHS

Under:Chapter 14: Diseases of the Genitourinary SystemN30-N39 Other diseases of the urinary systemN39 Other disorders of urinary systemN39.4 Other specified urinary incontinenceN39.49 Other specified urinary incontinence

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 695 — KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC (MDC 11)
  • MS-DRG 696 — KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC (MDC 11)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for N39.490 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on N39.490 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from N39.4

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated overactive bladder (N32.81)

Source: inherited from N39.4

Coder workflow for N39.490

MedCoder structured workflow — derived from this code’s own official record

Before you code N39.490

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with N39.490. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in N39.490’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewR32, R39.81, F98.0

Consider N39.490. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes1 — check before selecting N39.490(5 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with N39.490: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareR32, R39.81, F98.0

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of N39.490(7 notes)

    Coding workflow: The conditions named in this note are not included in N39.490. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareR31, N02, R80, O08.8, O23, O75.3

    See the official tabular notes · Guidelines I.A.12.b

  • Code Also — related condition(1 note)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewN32.81

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition N39.490 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewR32, R39.81, F98.0

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse N39.490 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of N39.490 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • R32— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of enuresis NOS moves the case to R32; the two are not reported together unless documented as unrelated.

    Full comparison: N39.490 vs R32 →

  • R39.81— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of functional urinary incontinence moves the case to R39.81; the two are not reported together unless documented as unrelated.

    Full comparison: N39.490 vs R39.81 →

  • F98.0— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of urinary incontinence of nonorganic origin moves the case to F98.0; the two are not reported together unless documented as unrelated.

    Full comparison: N39.490 vs F98.0 →

  • R31— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of hematuria NOS adds R31; it is not part of this code and both may be reported when both are documented.

    Full comparison: N39.490 vs R31 →

  • N02— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of recurrent or persistent hematuria adds N02; it is not part of this code and both may be reported when both are documented.

    Full comparison: N39.490 vs N02 →

  • R80— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of proteinuria NOS adds R80; it is not part of this code and both may be reported when both are documented.

    Full comparison: N39.490 vs R80 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Overflow incontinence is a billable ICD-10-CM diagnosis code (N39.490).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  2. 5 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 7 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name N39.490 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: R32 — Unspecified urinary incontinence (via N39.-), R39.81 — Functional urinary incontinence (via N39.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 3 Use Additional Code instructions: N31 — Neuromuscular dysfunction of bladder, not elsewhere classified (via N39.-), N40.1 — Benign prostatic hyperplasia with lower urinary tract symptoms (via N39.4.-), N40.3 — Nodular prostate with lower urinary tract symptoms (via N39.4.-).

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 695 (MDC 11), DRG 696 (MDC 11).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):GEN008 — Urinary incontinence (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Urinary incontinence).

F98.0 — Enuresis not due to a substance or known physiological condition, F98.1 — Encopresis not due to a substance or known physiological condition, N39.3 — Stress incontinence (female) (male), N39.41 — Urge incontinence, N39.42 — Incontinence without sensory awareness, N39.43 — Post-void dribbling, N39.44 — Nocturnal enuresis, N39.45 — Continuous leakage, N39.46 — Mixed incontinence, N39.491 — Coital incontinence, N39.492 — Postural (urinary) incontinence, N39.498 — Other specified urinary incontinence, R32 — Unspecified urinary incontinence, R39.81 — Functional urinary incontinence

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Incontinence”; these codes share that main term but sit in a different category of the Tabular List.

F45.8 — Other somatoform disorders (psychogenic), F98.0 — Enuresis not due to a substance or known physiological condition (urine, nonorganic origin), F98.1 — Encopresis not due to a substance or known physiological condition (feces, nonorganic origin), R15.9 — Full incontinence of feces (feces), R32 — Unspecified urinary incontinence, R39.81 — Functional urinary incontinence (urine, functional)

Contextual Map

Every relationship of N39.490 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run N39.490 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • R32 — Unspecified urinary incontinence[Excludes1](via N39.-): “stress incontinence and other specified urinary incontinence (N39.3-N39.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • R39.81 — Functional urinary incontinence[Excludes1](via N39.-): “stress incontinence and other specified urinary incontinence (N39.3-N39.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Use Additional Code instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract[MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 3,578 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Incontinence, overflow[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Incontinence, urine (urinary), overflow[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (16)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "N39.490 — Overflow incontinence." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/n39.490-overflow-incontinence

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Overflow incontinence

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to N39.490 in its code family, with their registry titles.

View all codes in the N39 family