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ICD-10-CM Code for Benign prostatic hyperplasia with lower urinary tract symptoms N40.1

ICD-10 code N40.1 for Benign prostatic hyperplasia with lower urinary tract symptoms is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

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Official Long Descriptor

Benign prostatic hyperplasia with lower urinary tract symptoms
Enlarged prostate with LUTS
Use additional code for associated symptoms, when specified:
incomplete bladder emptying (R39.14)
nocturia (R35.1)
straining on urination (R39.16)
urinary frequency (R35.0)
urinary hesitancy (R39.11)
urinary incontinence (N39.4-)
urinary obstruction (N13.8)
urinary retention (R33.8)
urinary urgency (R39.15)
weak urinary stream (R39.12)

N40

Includes: adenofibromatous hypertrophy of prostate
benign hypertrophy of the prostate
benign prostatic hypertrophy
BPH
enlarged prostate
nodular prostate
polyp of prostate

Excludes1: benign neoplasms of prostate (adenoma, benign) (fibroadenoma) (fibroma) (myoma) (D29.1)

Excludes2: malignant neoplasm of prostate (C61)

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM N40.1 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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Suprapubic or Retropubic Simple Prostatectomy?
Could someone please help me determine if this should be billed with 55821 or 55831? The note says the incision was extraperitoneal and it seems the bladder was opened which would point me to 55821, b... [ Read More ]
Question: Screening Labs
Hi Rhonda? This screening depends on what lab test is being done and reason from provider. . DX Z00 is more of physical. I'd be detailed if I were you 2. Let me give you some examples but it depends o... [ Read More ]
BCBS, Screening PSA (G0103) denials
[QUOTE="TThivierge, post: 505360, member: 216725"] Hi There, I do a lot of lab coding. The PSA lab test needs to linked first with a definitive dx code such as N42.9, Disorders of the Prostate, or d... [ Read More ]
ICD-10 for pathology cases that fail to yield a definitive diagnosis
Hi All I bill lab and x-ray ALL the time plus past job experience. Lab companies really hate unspecified dx codes but they do accept them. Also only use Z dx codes if they are considered FIRST listed ... [ Read More ]
BCBS, Screening PSA (G0103) denials
[QUOTE="TThivierge, post: 505360, member: 216725"] Hi There, I do a lot of lab coding. The PSA lab test needs to linked first with a definitive dx code such as N42.9, Disorders of the Prostate, or d... [ Read More ]
BCBS, Screening PSA (G0103) denials
[QUOTE="cworrells, post: 505305, member: 650640"] Question...Is anyone else having issues with BCBS denying PSA screenings with the following codes, G0103/Z12.5? As far as all of my research goes, bot... [ Read More ]
"Code Also" and "Code First"
If a patient was admitted to Inpatient with acute kidney failure (N17.9) due to obstructive and reflux uropathy due to BPH, which would be your principal diagnosis since the code for obstructive uropa... [ Read More ]
52640 w/52283
Having some confusion on went to be able to code these separately, provider wants me to bill them together with 52283-59, but I don't think the documentation is sufficient to bill separately or is it?... [ Read More ]
Urinary urgency
[QUOTE="terribrown, post: 448664, member: 108500"]In an inpatient setting, the patient is documented with sepsis due to UTI (E. coli is the stated causal organism), urinary urgency x 3 days and BPH (a... [ Read More ]
Urinary urgency
In an inpatient setting, the patient is documented with sepsis due to UTI (E. coli is the stated causal organism), urinary urgency x 3 days and BPH (among other DX not essential to my question.) The ... [ Read More ]
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