ICD-10 F98.0
Billable / SpecificEnuresis not due to a substance or known physiological condition
About ICD-10-CM F98.0
ICD-10-CM code F98.0 represents Enuresis not due to a substance or known physiological condition. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F98). The 2026 edition of ICD-10-CM F98.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F98.0. Per CMS ICD-10-CM Tabular 2026.
- Enuresis (primary) (secondary) of nonorganic origin
- Functional enuresis
- Psychogenic enuresis
- Urinary incontinence of nonorganic origin
Type 1 Excludes
Pure excludes, these codes can never be coded together with F98.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- enuresis NOS (R32)
Medicare LCD Coverage for F98.0
Local Coverage Determinations (LCDs) from CMS MACs that list F98.0 as a covered diagnosis.
Showing top 10 of 241 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F98.0.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F98.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 51741 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51728 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51729 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 55899 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51792 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51736 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51726 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51727 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51797 CMS LCD: Billing and Coding: Urodynamics CMS LCD
Convert F98.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F98.0 | 3076 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F98.0
Other codes in section F90-F98 (Behavioral and emotional disorders with onset usually occurring in childhood and adolescence).
ICD-10 F98.0, Billing FAQ
Is ICD-10 code F98.0 billable? +
Yes, F98.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to F98.0? +
ICD-10 F98.0 includes: Enuresis (primary) (secondary) of nonorganic origin; Functional enuresis; Psychogenic enuresis, and 1 more clinical synonyms.
What codes are Type 1 Excludes for F98.0? +
Type 1 Excludes (never code together with F98.0): enuresis NOS (R32)
What CPT codes are commonly billed with F98.0? +
Procedures frequently paired with F98.0 include: 51741, 51728, 51729, 55899, 51792.
What ICD-9 codes does F98.0 map to? +
Per CMS GEMs, F98.0 maps to ICD-9 codes: 3076. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 17, 2026.
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