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

ICD-10 N36.43

Billable / Specific

Combined hypermobility of urethra and intrinsic sphincter deficiency

N36
Block
0
Synonyms
88
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM N36.43

ICD-10-CM code N36.43 represents Combined hypermobility of urethra and intrinsic sphincter deficiency. This is a billable/specific code in the Genitourinary System chapter (block N36). The 2026 edition of ICD-10-CM N36.43 became effective on October 1, 2025.

Medicare LCD Coverage for N36.43

Local Coverage Determinations (LCDs) from CMS MACs that list N36.43 as a covered diagnosis.

88 LCDs

Showing top 10 of 88 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51729 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51797 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51727 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51728 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51736 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51741 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51792 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51725 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 51726 →
CMS LCD: Billing and Coding: Urodynamics
Article ID: 57455, Effective: 2025-10-01 00:00:00, 520 covered, 0 non-covered
CPT 55899 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N36.43.

5 policies

5 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Urodynamics
Policy ID: ART-56802
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-57123
Billing and Coding: Urodynamics
Policy ID: ART-57455
Billing and Coding: Pelvic Floor Dysfunction: Anorectal Manometry and EMG
Policy ID: ART-57595

CPT Codes Commonly Billed with N36.43

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

No procedure linkages on file for N36.43

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N36.43 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
N36.43 59981 10111
N36.43 59982 10112

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

ICD-10 N36.43, Billing FAQ

Is ICD-10 code N36.43 billable? +

Yes, N36.43 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does N36.43 map to? +

Per CMS GEMs, N36.43 maps to ICD-9 codes: 59981, 59982. 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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