Flaccid neuropathic bladder, not elsewhere classified

This code signifies a neurogenic bladder characterized by hypotonia or atonia of the detrusor muscle, leading to impaired bladder emptying and urinary retention. It results from damage to the peripheral nerves innervating the bladder, preventing proper contraction.

Apply this code when documentation specifies a flaccid or atonic neurogenic bladder due to peripheral nerve damage, not attributable to a specific spinal cord lesion or other classified neurological conditions. Supporting documentation should include findings of a large post-void residual, overflow incontinence, or a cystometrogram demonstrating detrusor areflexia.

• Differentiate from spastic neurogenic bladder (hyperreflexic) which involves upper motor neuron lesions.
• Ensure the documentation explicitly states "flaccid" or "atonic" and indicates a neuropathic origin.
• If an underlying neurological condition causing the flaccid bladder is known (e.g., diabetic neuropathy, cauda equina syndrome), code that condition first, followed by this code.