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Home/Diagnosis/ICD-10 Coding for Malignant Tumor of Prostate

ICD-10 Coding for Malignant Tumor of Prostate

C61
C79.51
Z85.46

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

Also Known as:
Prostate Cancer
Adenocarcinoma of Prostate
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Key Information: ICD-10 Coding for Malignant Tumor of Prostate

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

Use ICD-10 code C61 for malignant neoplasm of prostate, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of prostate

Billable Code
C61
Billable

Diagnostic Criteria

clinical:
  • • Biopsy confirms adenocarcinoma
documentation:
  • • Documented treatment plan or active surveillance

Applicable To

  • • Adenocarcinoma of prostate

Important Notes

  • • Ensure documentation specifies active treatment or monitoring.

Secondary malignant neoplasm of bone

Billable Code
C79.51
Billable

Diagnostic Criteria

clinical:
  • • Bone scan showing metastasis
  • • MRI confirming bone lesions

Applicable To

  • • Bone metastases from prostate cancer

Important Notes

  • • Ensure metastasis is confirmed by imaging.

Personal history of malignant neoplasm of prostate

Billable Code
Z85.46
Billable

Diagnostic Criteria

clinical:
  • • No current treatment
  • • No evidence of disease

Applicable To

  • • History of prostate cancer

Important Notes

  • • Ensure documentation clearly states no active disease.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.5

Encounter for screening for malignant neoplasm of prostate

Use for routine screening encounters.

Frequently Asked Questions

What is the ICD-10 code for malignant tumor of prostate?

The ICD-10 code for a malignant tumor of the prostate is C61, which is used for active prostate cancer cases.

When should Z85.46 be used?

Z85.46 is used for patients with a history of prostate cancer, no current treatment, and no evidence of disease.

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