Name of the Condition

• Overflow Incontinence (ICD-10-CM Code N39.490)

Summary

Overflow incontinence is a type of urinary incontinence characterized by the involuntary leakage of small amounts of urine due to the bladder being overly full. It is commonly caused by an inability to fully empty the bladder, resulting in constant dribbling of urine.

Causes

• Blockage in the urinary tract, such as an enlarged prostate in men.
• Nerve damage from conditions such as diabetes, multiple sclerosis, or spinal cord injuries.
• Weakened bladder muscles.

Risk Factors

• Age: More common in older adults.
• Male gender: Higher prevalence due to prostate issues.
• Neurological disorders that affect bladder nerves.
• Diabetes, which can cause nerve damage.

Symptoms

• Frequent or constant dribbling of urine.
• Difficulty starting urination.
• Feeling that the bladder is never completely empty.
• Weak urine stream or intermittent urine flow.

Diagnosis

• Medical history and physical examination.
• Urinalysis to rule out infection.
• Bladder ultrasound to check for residual urine.
• Urodynamic tests to assess bladder function.

Treatment Options

• Medications that help improve bladder control or reduce prostate size.
• Catheterization to empty the bladder.
• Surgery for anatomical blockages.
• Pelvic floor muscle exercises to strengthen the muscles.

Prognosis and Follow-Up

• Prognosis varies; some individuals respond well to treatment.
• Regular follow-ups are essential to monitor condition progression and treatment efficacy.

Complications

• Urinary tract infections.
• Skin rashes or irritation due to constant wetness.
• Kidney damage if the bladder is chronically overfilled.

Lifestyle & Prevention

• Schedule bathroom visits to avoid bladder overfilling.
• Monitor fluid intake, especially avoiding diuretics like caffeine.
• Perform bladder training and pelvic exercises regularly for muscle strength.

When to Seek Professional Help

• Persistent symptoms that affect quality of life.
• Signs of urinary tract infections such as fever or pain.
• Sudden, severe inability to urinate.

Additional Resources

• National Association for Continence (NAFC): www.nafc.org
• Your local healthcare provider for tailored advice.

Tips for Medical Coders

• Ensure correct usage of the ICD-10-CM code N39.490 specifically for overflow incontinence.
• Differentiate from stress incontinence or urge incontinence to avoid miscoding.
• Review comprehensive clinical documentation to verify accurate coding.