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

ICD-10 Coding for Benign Prostatic Hypertrophy with Obstruction

N40.1
N13.8

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

Also Known as:
BPH with Obstruction
Prostate Enlargement with Obstruction
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Key Information: ICD-10 Coding for Benign Prostatic Hypertrophy with Obstruction

Essential facts and insights about ICD-10 Coding for Benign Prostatic Hypertrophy with 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 prostate enlargement
documentation:
  • • Detailed documentation of LUTS and obstruction

Applicable To

  • • BPH with LUTS
  • • Prostate enlargement with urinary obstruction

Important Notes

  • • Ensure documentation specifies LUTS and obstruction if present.

Other obstructive and reflux uropathy

Billable Code
N13.8
Billable

Diagnostic Criteria

clinical:
  • • Imaging or urodynamic confirmation of obstruction

Applicable To

  • • Obstructive uropathy due to BPH

Important Notes

  • • Ensure obstruction is documented and confirmed.
Ancillary Codes

Additional codes that may be used with this diagnosis

N13.8

Other obstructive and reflux uropathy

Use when obstruction is confirmed by imaging or urodynamic studies.

Frequently Asked Questions

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

The ICD-10 code for benign prostatic hypertrophy with obstruction is N40.1, used when lower urinary tract symptoms are documented.

When should N13.8 be used with N40.1?

Use N13.8 with N40.1 when imaging or urodynamic studies confirm urinary obstruction due to BPH.

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