Prostatectomy ICD-10-CM Codes | 2023

Prostatectomy ICD-10-CM Codes | 2023

Explore essential ICD-10 codes for Prostatectomy. Ensure accurate billing and documentation in prostate surgery with these codes.

By Carepatron Team on Aug 8, 2025.

Fact Checked by RJ Gumban.

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What ICD-10 codes are used for prostatectomy?

Prostatectomy, the surgical removal of the prostate gland, is a common procedure primarily used to treat prostate cancer or benign prostatic hyperplasia (BPH). The ICD-10-CM codes related to prostatectomy help classify the medical conditions leading to the procedure, postprocedural states, and the patient’s surgical history.

These codes are crucial for accurate documentation, ensuring appropriate billing, treatment planning, and insurance reimbursement. The coding structure distinguishes between the underlying condition (e.g., malignant neoplasm) and the postprocedural status (e.g., acquired absence of the prostate).

To provide more clarity, here are the commonly used prostatectomy ICD-10 codes:

C61 - Malignant neoplasm of the prostate

Prostatectomy is a common treatment for prostate cancer, and this code may be used in such cases.

N40.0 -  Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS)

In cases where medical treatment for BPH is not adequate, prostatectomy may be performed as a solution for severe cases.

N40.1 - Nodular prostate

Prostatectomy may be performed when nodules in the prostate are causing significant symptoms or suspicion of malignancy.

N42 - Other and unspecified diseases of the prostate

Used when a prostatectomy is performed for conditions not covered by other specific codes, indicating a diverse range of prostate diseases.

Z98.890 - Postprocedural states, other specified

Applied when the patient has undergone a prostatectomy, indicating a post-surgical state.

These ICD-10 codes help standardize the documentation and billing processes related to prostatectomy procedures, ensuring accurate representation of the patient's medical condition and the healthcare services. Always consult the latest coding guidelines and updates for accurate coding practices.

Which prostatectomy ICD codes are billable?

  • C61 – Malignant neoplasm of the prostate:  Billable
  • N40.0 – Benign prostatic hyperplasia with lower urinary tract symptoms (LUTS): Billable
  • N40.1 – Nodular prostate: Billable
  • N42 – Other specified diseases of the prostate: Not billable
  • Z98.890 – Postprocedural states, other specified: Billable

Clinical information

Prostatectomy is typically performed for two primary reasons:

  • Malignant neoplasm of the prostate (prostate cancer) – Codes like C61 reflect the underlying cancer diagnosis.
  • Benign prostatic hyperplasia (BPH) – Conditions like N40.1 may lead to partial or complete removal when medical treatment is ineffective.

Prostatectomy is a surgical procedure used for treating prostate cancer and BPH, with various surgical techniques involved. The surgical approach may include:

  • Radical prostatectomy (perineal, retropubic, or laparoscopic)
  • Transurethral resection of the prostate (TURP)
  • Open prostatectomy

Prostatectomy is performed for prostate cancer and severe benign prostatic hyperplasia (BPH) symptoms like urinary retention and recurrent infections. Before surgery, the patient's medical history is reviewed, imaging is done, and PSA levels are checked to guide treatment.

Surgical options include open prostatectomy, laparoscopic prostatectomy, and robotic-assisted prostatectomy, each varying in approach and recovery time. The procedure is done under general anesthesia, followed by catheter placement and close monitoring.

Recovery includes a gradual return to activity and follow-up appointments to track healing. Some patients experience urinary incontinence or erectile dysfunction, depending on the technique and individual factors.

Long-term care involves regular PSA testing, managing side effects, and ongoing support from urologists and oncologists to ensure a comprehensive care plan after prostate removal.

Synonyms include

  • Prostatic surgery
  • Prostate removal
  • Prostate excision
  • Radical prostatectomy history
  • Radical retropubic prostatectomy history
  • Radical perineal prostatectomy history
  • Surgical prostate intervention
  • Removal of prostate gland
  • Post-prostatectomy state
  • History of radical prostatectomy
  • History of open prostatectomy
  • Male reproductive organ surgery
  • Surgery for prostate cancer
  • Surgery for BPH (benign prostatic hyperplasia)
  • TURP (Transurethral Resection of the Prostate)

Commonly asked questions

Use a Prostatectomy ICD code when documenting the surgical removal of the prostate gland.

Yes, Prostatectomy diagnoses, such as C61 for malignant neoplasm, are billable.

Common treatments include surgical interventions like open, laparoscopic, or robotic-assisted prostatectomy, depending on the case.

Related ICDs

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