N39.46 Mixed incontinence

Billable ICD-10-CM code, FY2026.

Applicable to

• Urge and stress incontinence

Applies from N39 Other disorders of urinary system

Excludes2 (not included here)

• hematuria NOS (R31.-)
• recurrent or persistent hematuria (N02.-)
• recurrent or persistent hematuria with specified morphological lesion (N02.-)
• proteinuria NOS (R80.-)

Applies from N39.4 Other specified urinary incontinence

Excludes1 (never code together)

• enuresis NOS (R32)
• functional urinary incontinence (R39.81)
• urinary incontinence associated with cognitive impairment (R39.81)
• urinary incontinence NOS (R32)
• urinary incontinence of nonorganic origin (F98.0)

Code also

• any associated overactive bladder (N32.81)

MS-DRG index

Defines the logic of DRG(s) 695-696 in MDC 11.

Approximate ICD-9-CM (GEMs)

• 788.33 Mixed incontinence (male) (female)

Code annotations containing back-references to N39.46

Back-references to N39.46

• Type 1 Excludes: N39.3 Stress incontinence (female) (male) ("mixed incontinence (N39.46)")
• Type 1 Excludes: N39.41 Urge incontinence ("mixed incontinence (N39.46)")
• Type 1 Excludes: R39.15 Urgency of urination ("urge incontinence (N39.41, N39.46)")

Back-references to N39.4

• Use Additional: N31 Neuromuscular dysfunction of bladder, not elsewhere classified ("code to identify any associated urinary incontinence (N39.3-N39.4-)")
• Use Additional: N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms ("urinary incontinence (N39.4-)")
• Use Additional: N40.3 Nodular prostate with lower urinary tract symptoms ("urinary incontinence (N39.4-)")
• Type 1 Excludes: R32 Unspecified urinary incontinence ("stress incontinence and other specified urinary incontinence (N39.3-N39.4-)")
• Type 1 Excludes: R39.81 Functional urinary incontinence ("stress incontinence and other specified urinary incontinence (N39.3-N39.4-)")

Diagnosis Index entries for N39.46

• Incontinence › stress (female) (male) › and urge
• Incontinence › urge › and stress (female) (male)
• Incontinence › urine (urinary) › mixed (stress and urge)
• Incontinence › urine (urinary) › stress (female) (male) › and urge
• Incontinence › urine (urinary) › urge › and stress (female) (male)

Nearby codes

• N39.41 Urge incontinence
• N39.42 Incontinence without sensory awareness
• N39.43 Post-void dribbling
• N39.44 Nocturnal enuresis
• N39.45 Continuous leakage
• N39.46 Mixed incontinence (this code)
• N39.49 Other specified urinary incontinence
• N39.490 Overflow incontinence
• N39.491 Coital incontinence
• N39.492 Postural (urinary) incontinence
• N39.498 Other specified urinary incontinence