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

ICD-10 Coding for Benign Prostatic Hypertrophy with Urinary Retention

N40.1
R33.8

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

Also Known as:
BPH with Urinary Retention
Prostatic Hyperplasia with Retention
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Key Information: ICD-10 Coding for Benign Prostatic Hypertrophy with Urinary Retention

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

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 urinary retention confirmed by tests
documentation:
  • • Detailed documentation of symptoms and test results

Applicable To

  • • BPH with LUTS
  • • BPH causing urinary obstruction

Important Notes

  • • Ensure documentation specifies LUTS and links retention to BPH.

Other retention of urine

Billable Code
R33.8
Billable

Diagnostic Criteria

clinical:
  • • Documentation linking retention to BPH
  • • Exclusion of neurogenic causes

Applicable To

  • • Urinary retention not otherwise specified

Important Notes

  • • Ensure retention is documented as secondary to BPH.
Ancillary Codes

Additional codes that may be used with this diagnosis

R33.8

Other retention of urine

Use as a secondary code when retention is due to BPH.

Frequently Asked Questions

What is the ICD-10 code for BPH with urinary retention?

The ICD-10 code for benign prostatic hypertrophy with urinary retention is N40.1, with R33.8 used as a secondary code.

How should BPH with urinary retention be documented?

Document BPH with urinary retention by including LUTS, PVR measurements, and linking symptoms to BPH.

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