October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

N39 Other disorders of urinary system

All 14 codes in the N39 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

14

Can lead a claim

10

Cannot lead a claim

4

What CMS assigns to N39

10 of the 14 codes group to MMTA - Gastrointestinal tract and Genitourinary system (8) and MMTA - Other (2); 4 are assigned no clinical group. 1 of the 14 counts toward the Other disorders of the kidney and ureter, excluding chronic kidney disease and ESRD comorbidity subgroup; 13 are assigned none. 10 of the 14 can lead a claim.

  • Other disorders of the kidney and ureter, excluding chronic kidney disease and ESRD: counts toward the high comorbidity tier only in an interaction pair.

Every code in N39

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
N39.0Urinary tract infection, site not specifiedCan lead a claimJOther disorders of the kidney and ureter, excluding chronic kidney disease and ESRD
N39.3Stress incontinence (female) (male)Can lead a claimJNone
N39.4 Other specified urinary incontinence
N39.41Urge incontinenceCan lead a claimJNone
N39.42Incontinence without sensory awarenessCan lead a claimJNone
N39.43Post-void dribblingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
N39.44Nocturnal enuresisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
N39.45Continuous leakageCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
N39.46Mixed incontinenceCan lead a claimJNone
N39.49 Other specified urinary incontinence
N39.490Overflow incontinenceCan lead a claimJNone
N39.491Coital incontinenceCan lead a claimANone
N39.492Postural (urinary) incontinenceCan lead a claimANone
N39.498Other specified urinary incontinenceCan lead a claimJNone
N39.8Other specified disorders of urinary systemCan lead a claimJNone
N39.9Disorder of urinary system, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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