AHA Coding Clinic® for ICD-9 - 2008 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES
Functional Urinary Incontinence
Effective October 1, 2008, a new code has been created to uniquely identify functional urinary incontinence (788.91). Functional urinary incontinence occurs when a person does not recognize the need to go to the toilet, recognize where the toilet is, or get to the toilet in time. Causes of functional incontinence include confusion, dementia, poor eyesight, poor mobility, poor dexterity, unwillingness to toilet because of depression, anxiety or anger, or circumstances in which the person is unable to reach a toilet. People with functional incontinence may have problems thinking, moving, or communicating. For example, a person with Alzheimerâ&euro...
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Article Overview
This article reviews a coding update affecting urinary system symptom reporting in ICD-9-CM. It is relevant to coding and compliance staff, clinical documentation teams, and revenue cycle professionals who need to understand how the update fits within the urinary incontinence and related symptom categories, as well as the effective date and revised exclusions noted in the source.
Why This Topic Matters
Accurate reporting of urinary system symptoms and incontinence depends on recognizing coding changes, revised exclusions, and the introduction of a new diagnosis category. This update helps support consistent documentation review and code selection for records involving functional or related urinary incontinence concerns.
Article Sections
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Coding update and effective date
Introduces the scope of the update and identifies when the change took effect.
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Clinical overview of functional urinary incontinence
Summarizes the general clinical circumstances associated with functional urinary incontinence and related patient factors.
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ICD-9-CM symptom category revisions
Describes changes within the urinary system symptom categories, including revised exclusions and related category updates.
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New code and related notes
Presents the newly added diagnosis code and nearby urinary symptom references included in the update.
What You Will Learn
- What the article says changed in the urinary system symptom category
- What broad clinical situations are associated with functional urinary incontinence
- What types of documentation and coding updates are discussed
- Why the update is relevant to ICD-9-CM urinary symptom reporting
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle staff
- Healthcare compliance staff
Codes Discussed
Code Ranges Discussed
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