Breakdown of implanted urinary sphincter, sequela

This code signifies a mechanical failure of an implanted artificial urinary sphincter, occurring as a long-term consequence of the initial implantation. This breakdown can involve components such as the cuff, pump, or balloon reservoir, leading to dysfunction in urinary continence.

This code is appropriate for documenting patient encounters where a previously implanted artificial urinary sphincter is experiencing a mechanical malfunction, and the encounter is for the management of these chronic sequelae. It applies to situations where the initial complication or acute breakdown has already been addressed, and the current visit focuses on the lasting effects or ongoing management of the device failure.

• Requires a seventh character "S" to indicate sequela, meaning the patient is seen for complications or conditions that are the direct result of the original breakdown.
• Do not use for acute or initial mechanical breakdowns; those would typically use the "A" (initial encounter) or "D" (subsequent encounter) seventh characters.
• Consider additional codes for specific symptoms or conditions resulting from the sphincter breakdown, such as urinary incontinence (N39.3).