---
title: "ICD-10-CM N39.491: Coital incontinence | BillingBrief"
description: "ICD-10-CM code N39.491: Coital incontinence. Category, related codes, and the official source, in plain English."
canonical: "https://billingbrief.com/icd10/n39.491/"
language: "en"
---

# N39.491 Coital incontinence

ICD-10-CM · [CMS code reference](#source)

**Official ICD-10-CM description:** Coital incontinence

## Coding notes

From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.

### Excludes1

Not coded together with this code. The exception is when the two conditions are unrelated to each other.

-   enuresis NOS (R32)
-   functional urinary incontinence ([R39.81](https://billingbrief.com/icd10/r39.81/))
-   urinary incontinence associated with cognitive impairment ([R39.81](https://billingbrief.com/icd10/r39.81/))
-   urinary incontinence NOS (R32)
-   urinary incontinence of nonorganic origin (F98.0)

### Excludes2

Not part of this code, but both can be coded when both are documented.

-   hematuria NOS (R31.-)
-   recurrent or persistent hematuria (N02.-)
-   recurrent or persistent hematuria with specified morphological lesion (N02.-)
-   proteinuria NOS (R80.-)
-   urinary infection (complicating):
-   abortion or ectopic or molar pregnancy (O00-O07, O08.8)
-   pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)

### Code also

A second code may be needed. Sequencing depends on the encounter.

-   any associated overactive bladder (N32.81)

## Related codes

-   [`N39.42` Incontinence without sensory awareness ICD-10-CM](https://billingbrief.com/icd10/n39.42/)
-   [`N39.43` Post-void dribbling ICD-10-CM](https://billingbrief.com/icd10/n39.43/)
-   [`N39.44` Nocturnal enuresis ICD-10-CM](https://billingbrief.com/icd10/n39.44/)
-   [`N39.45` Continuous leakage ICD-10-CM](https://billingbrief.com/icd10/n39.45/)
-   [`N39.46` Mixed incontinence ICD-10-CM](https://billingbrief.com/icd10/n39.46/)
-   [`N39.490` Overflow incontinence ICD-10-CM](https://billingbrief.com/icd10/n39.490/)
-   [`N39.492` Postural (urinary) incontinence ICD-10-CM](https://billingbrief.com/icd10/n39.492/)
-   [`N39.498` Other specified urinary incontinence ICD-10-CM](https://billingbrief.com/icd10/n39.498/)

## Common questions

### Is N39.491 a billable code?

Yes. N39.491 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.

## From the source

Official description from [CMS](https://www.cms.gov/medicare/coding-billing/icd-10-codes).
ICD-10-CM FY2027 (effective October 1, 2026).

Code set

ICD-10-CM

Category

N39 Other disorders of urinary system

Chapter

Diseases of the genitourinary system

Billable

Yes

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).