Enuresis not due to a substance or known physiol condition

This code signifies involuntary urination, typically at night (nocturnal enuresis), in individuals who have passed the age when bladder control is usually established. It specifically applies when medical evaluation has ruled out underlying physical causes or substance use as the etiology. This condition is often referred to as primary or functional enuresis.

Apply this code for patients presenting with persistent bedwetting or daytime wetting where a thorough medical workup, including urinalysis and imaging if indicated, has excluded conditions like urinary tract infections, diabetes, neurological disorders, or structural abnormalities of the urinary system. Documentation should clearly state "enuresis" and explicitly rule out physiological or substance-induced causes.

• Do not use this code if the documentation indicates an underlying medical condition (e.g., spina bifida, diabetes mellitus) or substance use as the cause; instead, code the underlying condition.
• Distinguish from R32 (unspecified enuresis) which is used when the cause is not documented as ruled out or when the type of enuresis is not specified.
• Consider the patient's age; enuresis is typically diagnosed in children aged five years or older.