Mixed incontinence

This code represents the involuntary leakage of urine due to a combination of both stress incontinence and urge incontinence. Patients experience urine loss with physical exertion (e.g., coughing, sneezing) and also have a sudden, strong need to urinate that is difficult to defer. It signifies a multifactorial etiology for urinary incontinence.

Assign this code when documentation clearly indicates symptoms and/or diagnostic findings consistent with both stress and urge components of urinary incontinence. This typically involves patient history detailing both types of episodes, often confirmed by urodynamic studies. Ensure the provider explicitly diagnoses "mixed incontinence" or describes symptoms unequivocally pointing to both types.

• Do not code separately for stress incontinence (N39.3) and urge incontinence (N39.41) when mixed incontinence is diagnosed; this code encompasses both.
• Review documentation for specific causes of the mixed incontinence, such as neurological conditions or pelvic organ prolapse, which may require additional codes.
• Ensure the provider's documentation supports the "mixed" nature, not just a general statement of incontinence.