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Home/Diagnosis/ICD-10 Coding for Prostate Nodule

ICD-10 Coding for Prostate Nodule

N40.2
N40.3
C61

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

Also Known as:
Prostatic Nodule
Nodular Prostate
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Key Information: ICD-10 Coding for Prostate Nodule

Essential facts and insights about ICD-10 Coding for Prostate Nodule

Use ICD-10 code N40.2 for nodular prostate without luts, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Nodular prostate without LUTS

Billable Code
N40.2
Billable

Diagnostic Criteria

clinical:
  • • Nodule present without urinary symptoms

Applicable To

  • • Palpable nodule(s) without urinary symptoms

Important Notes

  • • Ensure documentation specifies the absence of LUTS.

Nodular prostate with LUTS

Billable Code
N40.3
Billable

Diagnostic Criteria

clinical:
  • • Nodule(s) with urinary symptoms such as weak stream or nocturia

Applicable To

  • • Nodule(s) with urinary symptoms such as weak stream or nocturia

Important Notes

  • • Ensure documentation specifies the presence of LUTS.

Malignant neoplasm of prostate

Billable Code
C61
Billable

Diagnostic Criteria

clinical:
  • • Biopsy-confirmed adenocarcinoma of the prostate

Applicable To

  • • Biopsy-confirmed adenocarcinoma of the prostate

Important Notes

  • • Ensure biopsy results are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R97.2

Elevated PSA

Use when PSA levels are elevated but malignancy is not confirmed.

Frequently Asked Questions

How do you code a prostate nodule with elevated PSA?

Code N40.3 for nodular prostate with LUTS and R97.2 for elevated PSA if malignancy is not confirmed.

What is the ICD-10 code for a prostate nodule without symptoms?

Use ICD-10 code N40.2 for a prostate nodule without lower urinary tract symptoms.

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