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Home/Diagnosis/ICD-10 Coding for Hypertrophy of Prostate

ICD-10 Coding for Hypertrophy of Prostate

N40.0
N40.1

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

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

Essential facts and insights about ICD-10 Coding for Hypertrophy of Prostate

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

clinical_criteria:
  • • No LUTS present

Applicable To

  • • Enlarged prostate without symptoms

Important Notes

  • • Ensure documentation explicitly states the absence of LUTS.

Benign prostatic hyperplasia with lower urinary tract symptoms

Billable Code
N40.1
Billable

Diagnostic Criteria

clinical_criteria:
  • • Documented LUTS such as nocturia, weak stream, or frequency
  • • IPSS score indicating symptom severity

Applicable To

  • • BPH with symptoms like urinary frequency, nocturia, weak stream

Important Notes

  • • Ensure LUTS are clearly documented with frequency and severity.
Ancillary Codes

Additional codes that may be used with this diagnosis

R33.8

Other retention of urine

Use when acute urinary retention is present alongside BPH.

N39.0

Urinary tract infection, site not specified

Use when UTI is complicating BPH.

Frequently Asked Questions

What is the ICD-10 code for hypertrophy of prostate?

The ICD-10 code for hypertrophy of prostate without symptoms is N40.0, and with symptoms is N40.1.

How do you code BPH with LUTS?

BPH with lower urinary tract symptoms is coded as N40.1, requiring documentation of specific symptoms like nocturia or weak stream.

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