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Home/Diagnosis/ICD-10 Coding for Prostatic Enlargement

ICD-10 Coding for Prostatic Enlargement

N40.0
N40.1

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

Also Known as:
Benign Prostatic Hyperplasia
BPH
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Key Information: ICD-10 Coding for Prostatic Enlargement

Essential facts and insights about ICD-10 Coding for Prostatic Enlargement

Use ICD-10 code N40.0 for enlarged prostate without lower urinary tract symptoms (luts), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Enlarged prostate without lower urinary tract symptoms (LUTS)

Billable Code
N40.0
Billable

Diagnostic Criteria

clinical_criteria:
  • No LUTS present with prostate enlargement

Applicable To

  • • Asymptomatic prostatic enlargement

Important Notes

  • • Ensure no LUTS are documented before using this code.

Enlarged prostate with lower urinary tract symptoms (LUTS)

Billable Code
N40.1
Billable

Diagnostic Criteria

clinical_criteria:
  • Documented LUTS such as urinary frequency, urgency, or weak stream

Applicable To

  • • BPH with LUTS

Important Notes

  • • Ensure LUTS are clearly documented to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

R35.0

Urinary frequency

Use with N40.1 to specify urinary frequency as a symptom.

Frequently Asked Questions

What is the ICD-10 code for prostatic enlargement?

The ICD-10 code for prostatic enlargement without LUTS is N40.0, and with LUTS is N40.1.

How to document LUTS for BPH?

Document specific LUTS such as urinary frequency, urgency, or weak stream, and include IPSS scores for accurate coding.

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