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

ICD-10 N39.491

Billable / Specific

Coital incontinence

N39
Block
0
Synonyms
389
LCDs
16
Payer Policies
0
Linked CPTs

About ICD-10-CM N39.491

ICD-10-CM code N39.491 represents Coital incontinence. This is a billable/specific code in the Genitourinary System chapter (block N39). The 2026 edition of ICD-10-CM N39.491 became effective on October 1, 2025.

Medicare LCD Coverage for N39.491

Local Coverage Determinations (LCDs) from CMS MACs that list N39.491 as a covered diagnosis.

389 LCDs

Showing top 10 of 389 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 N39.491.

16 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-57123
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57185
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57186
Billing and Coding: Urodynamics
Policy ID: ART-57455

CPT Codes Commonly Billed with N39.491

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

No procedure linkages on file for N39.491

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 N39.491 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
N39.491 78839 10000

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

ICD-10 N39.491, Billing FAQ

Is ICD-10 code N39.491 billable? +

Yes, N39.491 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does N39.491 map to? +

Per CMS GEMs, N39.491 maps to ICD-9 codes: 78839. 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 June 2, 2026.

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