R32: Unspecified urinary incontinence

R32, unspecified urinary incontinence, is listed as a covered diagnosis in 8 Medicare billing and coding articles that apply to 15 HCPCS Level II codes, including A4290 (Sacral nerve stimulation test lead, each), C1767 (Generator, neurostimulator (implantable), non-rechargeable), C1778 (Lead, neurostimulator (implantable)). The articles come from 5 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with R32 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
A4290Sacral nerve stimulation test lead, eachCarrier judgment—2
C1767Generator, neurostimulator (implantable), non-rechargeableSpecial coverage instructions apply—2
C1778Lead, neurostimulator (implantable)Special coverage instructions apply—2
C1883Adapter/extension, pacing lead or neurostimulator lead (implantable)Special coverage instructions apply—2
C1897Lead, neurostimulator test kit (implantable)Special coverage instructions apply—2
C1820Generator, neurostimulator (implantable), with rechargeable battery and charging systemSpecial coverage instructions apply—1
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of careCarrier judgment—1
G2010Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointmentCarrier judgment—1
G2250Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointmentCarrier judgment—1
G0281Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of careCarrier judgment—1
G2251Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussionCarrier judgment—1
G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutesCarrier judgment—1
G0329Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of careCarrier judgment—1
L8680Implantable neurostimulator electrode, eachNot payable by MedicareNot covered2
G0255Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerveNon-covered by MedicareNot covered5

Medicare policy articles listing R32

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Frequently asked questions

Does Medicare cover R32 (Unspecified urinary incontinence)?

Medicare covers items and services, not diagnoses. 8 Medicare billing and coding articles list R32 as a covered diagnosis for 15 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 R32?

The Level II codes from the policies most specific to this diagnosis are A4290 (Sacral nerve stimulation test lead, each, 2 articles); C1767 (Generator, neurostimulator (implantable), non-rechargeable, 2 articles); C1778 (Lead, neurostimulator (implantable), 2 articles); C1883 (Adapter/extension, pacing lead or neurostimulator lead…, 2 articles); C1897 (Lead, neurostimulator test kit (implantable), 2 articles). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list R32?

A55835 (Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence); A53359 (Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence); A57307 (Billing and Coding: Nerve Conduction Studies and Electromyography), and 5 more articles.

What is ICD-10-CM code R32?

R32 is the ICD-10-CM code for unspecified urinary incontinence, in category R32 (Unspecified urinary incontinence), chapter 18: Symptoms, signs and abnormal findings.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 18: Symptoms, signs and abnormal findings · All diagnoses · HCPCS lookup