Enlarged Prostate ICD-10-CM Codes

Dive into the comprehensive guide on Enlarged Prostate ICD codes for 2023. Grasp the codes, their billability, and their clinical relevance related to this common male health condition.

By Audrey Liz Perez on Jun 16, 2024.

Fact Checked by Ericka Pingol.

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Enlarged Prostate ICD-10-CM Codes

What ICD Codes Are Used for Enlarged Prostate?

One must be familiar with the specific Enlarged Prostate ICD codes for accurate clinical documentation and billing when addressing an Enlarged Prostate. An enlarged prostate, medically known as benign prostatic hyperplasia (BPH), is common in older men. Here are some commonly used ICD codes related to this condition:

  • N40.0 - Enlarged prostate without lower urinary tract symptoms: This code is used for cases where the prostate is enlarged, but the patient doesn't exhibit any urinary symptoms.
  • N40.1 - Enlarged prostate with lower urinary tract symptoms: Represents cases where the enlarged prostate is causing symptoms like frequent urination, difficulty starting urination, and weak urine stream.

Using the right codes ensures that patients receive the appropriate care and that healthcare providers are reimbursed accurately.

Which Enlarged Prostate ICD Codes Are Billable?

All the ICD codes mentioned for Enlarged Prostate are typically billable as they represent specific medical conditions that require intervention. Proper documentation is crucial to ensure accurate billing and prevent potential discrepancies.

Clinical Information

Enlarged Prostate or BPH is a prevalent condition with specific clinical characteristics. Here's what clinicians and patients should be aware of:

  • BPH is not prostate cancer and doesn't increase the risk of cancer. However, the symptoms can be similar.
  • The exact cause of BPH is unknown, but it's related to changes in male sex hormones as men age.
  • Treatment options range from medications to surgery, depending on the severity of symptoms.
  • Regular check-ups are essential to monitor the condition and ensure it doesn't lead to complications.
  • Lifestyle changes, like reducing fluid intake before bedtime, can help manage symptoms.

Synonyms Include:

  • BPH
  • Prostatic Hypertrophy
  • Prostate Gland Enlargement
  • Benign Prostate Enlargement
  • Prostatic Hyperplasia
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Commonly asked questions

What are the main symptoms of an enlarged prostate?

Symptoms include frequent urination, difficulty starting urination, weak urine stream, and feeling that the bladder isn't empty.

How is an enlarged prostate diagnosed?

Diagnosis involves a combination of physical exams, medical history, blood tests, and imaging tests like ultrasound.

Is surgery always necessary for an enlarged prostate?

No, surgery is only one of the treatment options. Many men with BPH are treated with medications or lifestyle changes.

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