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Home/Diagnosis/ICD-10 Coding for Benign Prostatic Hyperplasia with Urinary Obstruction

ICD-10 Coding for Benign Prostatic Hyperplasia with Urinary Obstruction

N40.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for benign prostatic hyperplasia with urinary obstruction includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
BPH with LUTS
Enlarged Prostate with Urinary Symptoms
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Key Information: ICD-10 Coding for Benign Prostatic Hyperplasia with Urinary Obstruction

Essential facts and insights about ICD-10 Coding for Benign Prostatic Hyperplasia with Urinary Obstruction

Use ICD-10 code N40.1 for benign prostatic hyperplasia with lower urinary tract symptoms, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Benign prostatic hyperplasia with lower urinary tract symptoms

Billable Code
N40.1
Billable

Diagnostic Criteria

clinical:
  • • Presence of LUTS and confirmed prostate enlargement
documentation:
  • • Explicit mention of urinary obstruction due to BPH

Applicable To

  • • BPH with urinary obstruction
  • • BPH with LUTS

Important Notes

  • • Ensure documentation explicitly states LUTS and links them to BPH.
Ancillary Codes

Additional codes that may be used with this diagnosis

R33.9

Urinary retention, unspecified

Use when acute urinary retention is present with BPH.

Frequently Asked Questions

What is the ICD-10 code for benign prostatic hyperplasia with urinary obstruction?

The ICD-10 code for benign prostatic hyperplasia with urinary obstruction is N40.1, which includes lower urinary tract symptoms.

How should benign prostatic hyperplasia with LUTS be documented?

Document specific LUTS such as hesitancy and weak stream, confirm prostate enlargement via DRE or imaging, and include urodynamic test results.

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