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Home/Diagnosis/ICD-10 Coding for Prostatomegaly

ICD-10 Coding for Prostatomegaly

N40.0
N40.1
N40.2

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

Also Known as:
Enlarged Prostate
Benign Prostatic Hyperplasia (BPH)
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Key Information: ICD-10 Coding for Prostatomegaly

Essential facts and insights about ICD-10 Coding for Prostatomegaly

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

  • • Absence of LUTS with confirmed prostate enlargement

Applicable To

  • • Asymptomatic enlarged prostate

Important Notes

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

Benign prostatic hyperplasia with lower urinary tract symptoms

Billable Code
N40.1
Billable

Diagnostic Criteria

  • • Documented LUTS such as nocturia, weak stream

Applicable To

  • • BPH with nocturia, weak stream, urgency

Important Notes

  • • Ensure LUTS are clearly documented.

Nodular prostate without lower urinary tract symptoms

Billable Code
N40.2
Billable

Diagnostic Criteria

  • • Nodules detected on DRE without LUTS

Applicable To

  • • Nodular prostate detected via DRE

Important Notes

  • • Ensure nodules are documented without LUTS.

Nodular prostate with lower urinary tract symptoms

Billable Code
N40.3
Billable

Diagnostic Criteria

  • • Nodules detected with documented LUTS

Applicable To

  • • Nodular prostate with LUTS

Important Notes

  • • Ensure both nodules and LUTS are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R35.0

Urinary frequency

Use to specify urinary symptoms with N40.1.

R39.15

Urinary urgency

Use to specify urinary symptoms with N40.3.

Frequently Asked Questions

What is the ICD-10 code for prostatomegaly?

The ICD-10 code for prostatomegaly, commonly known as benign prostatic hyperplasia, is N40.0 for cases without symptoms and N40.1 when lower urinary tract symptoms are present.

How do you code BPH with LUTS?

Code N40.1 is used for benign prostatic hyperplasia with lower urinary tract symptoms, requiring documentation of specific symptoms like nocturia or weak stream.

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