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

ICD-10 R39.11

Billable / Specific

Hesitancy of micturition

R39
Block
0
Synonyms
59
LCDs
6
Payer Policies
8
Linked CPTs

About ICD-10-CM R39.11

ICD-10-CM code R39.11 represents Hesitancy of micturition. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R39). The 2026 edition of ICD-10-CM R39.11 became effective on October 1, 2025.

Medicare LCD Coverage for R39.11

Local Coverage Determinations (LCDs) from CMS MACs that list R39.11 as a covered diagnosis.

59 LCDs

Showing top 10 of 59 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
Article ID: 57050, Effective: 2026-03-26 00:00:00, 42 covered, 0 non-covered
CPT 51798 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1897 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1778 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT 95970 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT L8678 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1820 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT A4290 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT C1883 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT 95971 →
CMS LCD: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Article ID: 59332, Effective: 2024-01-01 00:00:00, 45 covered, 0 non-covered
CPT 64561 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R39.11.

6 policies

5 Medicare

Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
Policy ID: ART-53359
Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
Policy ID: ART-55835
Billing and Coding: Urodynamics
Policy ID: ART-56802
Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
Policy ID: ART-57050
Billing and Coding: Urodynamics
Policy ID: ART-57455

CPT Codes Commonly Billed with R39.11

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

8 linkages
  • 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 R39.11 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R39.11 78864 00000

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

ICD-10 R39.11, Billing FAQ

Is ICD-10 code R39.11 billable? +

Yes, R39.11 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 R39.11? +

Procedures frequently paired with R39.11 include: C1820, L8680, A4290, C1883, C1767.

What ICD-9 codes does R39.11 map to? +

Per CMS GEMs, R39.11 maps to ICD-9 codes: 78864. 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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