ICD-10 N39.490
Billable / SpecificOverflow incontinence
About ICD-10-CM N39.490
ICD-10-CM code N39.490 represents Overflow incontinence. This is a billable/specific code in the Genitourinary System chapter (block N39). The 2026 edition of ICD-10-CM N39.490 became effective on October 1, 2025.
Medicare LCD Coverage for N39.490
Local Coverage Determinations (LCDs) from CMS MACs that list N39.490 as a covered diagnosis.
Showing top 10 of 637 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N39.490.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with N39.490
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- C1820 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- L8680 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- A4290 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1883 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1767 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1778 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- C1897 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence CMS LCD
- L8678 CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence CMS LCD
Convert N39.490 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 |
|---|---|---|
| N39.490 | 78838 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N39.490
Other codes in section N30-N39 (Other diseases of the urinary system).
ICD-10 N39.490, Billing FAQ
Is ICD-10 code N39.490 billable? +
Yes, N39.490 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with N39.490? +
Procedures frequently paired with N39.490 include: C1820, L8680, A4290, C1883, C1767.
What ICD-9 codes does N39.490 map to? +
Per CMS GEMs, N39.490 maps to ICD-9 codes: 78838. 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 16, 2026.
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