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Home/Diagnosis/ICD-10 Coding for Benign Prostatic Hypertrophy

ICD-10 Coding for Benign Prostatic Hypertrophy

N40.0
N40.1

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

Also Known as:
BPH
Benign Prostatic Hyperplasia
Enlarged Prostate
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Key Information: ICD-10 Coding for Benign Prostatic Hypertrophy

Essential facts and insights about ICD-10 Coding for Benign Prostatic Hypertrophy

Use ICD-10 code N40.0 for benign prostatic hyperplasia without lower urinary tract symptoms, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Benign prostatic hyperplasia without lower urinary tract symptoms

Billable Code
N40.0
Billable

Diagnostic Criteria

  • • Absence of urinary symptoms

Applicable To

  • • Asymptomatic BPH

Important Notes

  • • Ensure no LUTS are documented before using this code.

Benign prostatic hyperplasia with lower urinary tract symptoms

Billable Code
N40.1
Billable

Diagnostic Criteria

  • • IPSS score ≥8
  • • Qmax <10 mL/sec on uroflowmetry
  • • Post-void residual >100 mL

Applicable To

  • • BPH with LUTS

Important Notes

  • • Ensure LUTS are documented in the clinical notes.
Ancillary Codes

Additional codes that may be used with this diagnosis

R35.1

Nocturia

Use when nocturia is documented as a symptom of BPH.

Frequently Asked Questions

What is the ICD-10 code for benign prostatic hypertrophy with LUTS?

The ICD-10 code for benign prostatic hypertrophy with lower urinary tract symptoms is N40.1. It requires documentation of specific symptoms such as nocturia or weak stream.

How do you code BPH without symptoms?

For benign prostatic hypertrophy without symptoms, use ICD-10 code N40.0. Ensure there are no documented lower urinary tract symptoms.

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