Combined hypermobility of urethra and intrns sphincter defic

This diagnosis code signifies a complex form of urinary incontinence characterized by both excessive mobility of the urethra and a weakened urethral sphincter muscle. This dual pathology leads to involuntary urine leakage, particularly with physical exertion or increased intra-abdominal pressure.

This code is appropriate when documentation clearly indicates both urethral hypermobility (often assessed by Q-tip test or imaging) and intrinsic sphincter deficiency (ISD), typically confirmed by urodynamic studies showing low urethral closure pressure. It should be used for patients presenting with stress urinary incontinence where both components are identified as contributing factors.

• Ensure documentation explicitly states both "hypermobility" and "intrinsic sphincter deficiency" for accurate code assignment.
• Do not use this code if only one of the conditions (hypermobility or ISD) is present; separate codes exist for each.
• Consider sequencing this code as a primary diagnosis when it is the main reason for the encounter, especially for surgical planning or management of incontinence.