ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N32.81

Billable / Specific

Overactive bladder

N32
Block
1
Synonyms
338
LCDs
19
Payer Policies
2
Linked CPTs

About ICD-10-CM N32.81

ICD-10-CM code N32.81 represents Overactive bladder. This is a billable/specific code in the Genitourinary System chapter (block N32). The 2026 edition of ICD-10-CM N32.81 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N32.81. Per CMS ICD-10-CM Tabular 2026.

  • Detrusor muscle hyperactivity

Type 1 Excludes

Pure excludes, these codes can never be coded together with N32.81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • frequent urination due to specified bladder condition- code to condition

Medicare LCD Coverage for N32.81

Local Coverage Determinations (LCDs) from CMS MACs that list N32.81 as a covered diagnosis.

338 LCDs

Showing top 10 of 338 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64646 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 52287 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT J0589 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64616 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64611 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64650 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 31570 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64647 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64612 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N32.81.

19 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Urodynamics
Policy ID: ART-56802
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-57123
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57185

1 Aetna

Urological Supplies
Policy ID: CPB-0533

CPT Codes Commonly Billed with N32.81

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 64566 CMS LCD: Billing and Coding: Posterior Tibial Nerve Stimulation for Voiding Dysfunction CMS LCD
  • L8678 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence CMS LCD

Convert N32.81 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N32.81 59651 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N32.81, Billing FAQ

Is ICD-10 code N32.81 billable? +

Yes, N32.81 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 N32.81? +

ICD-10 N32.81 includes: Detrusor muscle hyperactivity.

What codes are Type 1 Excludes for N32.81? +

Type 1 Excludes (never code together with N32.81): frequent urination due to specified bladder condition- code to condition

What CPT codes are commonly billed with N32.81? +

Procedures frequently paired with N32.81 include: 64566, L8678.

What ICD-9 codes does N32.81 map to? +

Per CMS GEMs, N32.81 maps to ICD-9 codes: 59651. 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 May 31, 2026.

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