Stress incontinence (female) (male)

This code identifies the involuntary leakage of urine due to increased intra-abdominal pressure, such as during coughing, sneezing, laughing, or physical exertion. It results from weakness of the pelvic floor muscles or urethral sphincter. This condition can affect both male and female patients.

Assign this code when documentation explicitly states "stress incontinence" without mention of an urge component. Supporting documentation typically includes patient history of urine leakage with physical activity, and physical exam findings consistent with urethral hypermobility or sphincter weakness.

• Do not use this code if the documentation indicates both stress and urge incontinence; refer to the Excludes1 note for mixed incontinence.
• Ensure the documentation clearly differentiates stress incontinence from other types of urinary incontinence.
• Consider any underlying causes or contributing factors that may require additional coding, such as prolapse or neurological conditions.