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Home/Diagnosis/ICD-10 Coding for Prostatectomy

ICD-10 Coding for Prostatectomy

C61
N40.0

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

Also Known as:
Prostate removal surgery
Radical prostatectomy
Laparoscopic prostatectomy
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Key Information: ICD-10 Coding for Prostatectomy

Essential facts and insights about ICD-10 Coding for Prostatectomy

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

  • • Confirmed prostate cancer diagnosis

Applicable To

  • • Adenocarcinoma of prostate

Important Notes

  • • Ensure Gleason score and staging are documented.

Benign prostatic hyperplasia with lower urinary tract symptoms

Billable Code
N40.0
Billable

Diagnostic Criteria

  • • IPSS score >19
  • • Prostate volume >80g

Applicable To

  • • BPH with LUTS

Important Notes

  • • Document IPSS and prostate size.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z90.46

Acquired absence of prostate

Use post-prostatectomy to indicate absence of prostate.

Z98.890

Other specified postprocedural states

Document post-surgical status.

Frequently Asked Questions

What is the ICD-10 code for prostatectomy?

The ICD-10 code for prostatectomy related to prostate cancer is C61, while N40.0 is used for benign prostatic hyperplasia.

When to use CPT code 55867?

Use CPT code 55867 for laparoscopic simple prostatectomy procedures performed for benign prostatic hyperplasia.

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