D29.1 is a billable ICD-10 code used to specify a medical diagnosis of benign neoplasm of prostate. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
This code is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
The following anatomical sites found in the Table of Neoplasms reference this diagnosis code given the correct histological behavior: Neoplasm, neoplastic prostate (gland) .
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Benign adenoma of prostate
- Benign neoplasm of prostate
- Fibroadenoma of prostate
- Fibroma of prostate
- Myoma of prostate
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- enlarged prostate N40
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
Convert to ICD-9 Code
|Source ICD-10 Code||Target ICD-9 Code|
|D29.1||222.2 - Benign neoplasm prostate|
Table of Neoplasms
This code is referenced in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.
Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.
Tumors are abnormal growths in your body. They can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. Benign tumors grow only in one place. They cannot spread or invade other parts of your body. Even so, they can be dangerous if they press on vital organs, such as your brain.
Tumors are made up of extra cells. Normally, cells grow and divide to form new cells as your body needs them. When cells grow old, they die, and new cells take their place. Sometimes, this process goes wrong. New cells form when your body does not need them, and old cells do not die when they should. These extra cells can divide without stopping and may form tumor.
Treatment often involves surgery. Benign tumors usually don't grow back.
NIH: National Cancer Institute
[Learn More in MedlinePlus]
What is the prostate?
The prostate is a gland in the male reproductive system. It lies just below the bladder. It makes fluid that is part of semen.
What are prostate diseases?
There are many types of prostate diseases:
- Prostatitis is inflammation (swelling and pain) in the prostate gland. It's the most common type of prostate problem in people under than age 50. There are different types:
- Chronic prostatitis is also called chronic pelvic pain syndrome. It's the most common type of prostatitis.
- Acute bacterial prostatitis starts suddenly from a bacterial infection and is treated with antibiotics. It is not common.
- Chronic bacterial prostatitis happens when a bacterial infection keeps coming back. The symptoms usually start slowly. It may take longer to treat than acute bacterial prostatitis.
- Asymptomatic prostatitis has no symptoms and usually doesn't need treatment. You may learn you have it after having tests for other health problems.
- Enlarged prostate is also called benign prostatic hyperplasia (BPH). The prostate gland tends to grow larger with age. That's why enlarged prostate is very common in older people and rare in those who are under age 40. When the prostate grows larger, it may press on your urethra and cause problems with urination.
- Prostate cancer happens when cancer cells form in the prostate gland. Prostate cancer is a common type of cancer in those aged 50 and older. Most prostate cancers grow slowly and may never cause health problems. But certain prostate cancers are serious.
Who is more likely to develop prostate diseases?
Anyone with a prostate can develop prostate problems. But some people are at higher risk.
You may be more likely to develop prostatitis if you have:
- A lower urinary tract infection, also called a UTI. An infection in your lower urinary tract (bladder and urethra) may lead to acute or chronic bacterial prostatitis.
- Nerve damage in your lower urinary tract from surgery or an injury. This may lead to chronic prostatitis.
- Emotional stress, which can lead to chronic prostatitis.
You may be more likely to develop an enlarged prostate (BPH) if you:
- Are age 40 or older.
- Have family members who have had BPH.
- Have certain health conditions such as:
- Heart disease and problems with blood circulation.
- Type 2 diabetes.
- Don't get enough physical activity.
You may be more likely to develop prostate cancer if you:
- Are older than age 50.
- Have a parent, sibling, or child who has or had prostate cancer.
- Are African American.
What are the symptoms of prostate diseases?
The symptoms of prostate problems include:
- Needing to urinate a lot.
- Needing to rush to the bathroom, but not being able to urinate or only going a little.
- Leaking or dribbling urine.
- Having a weak urine stream.
Other symptoms depend on the type of prostate problem you have and may include:
- Not being able to urinate at all. This is a medical emergency.
- Any problems, starting or controlling urine flow.
- Waking up often to urinate.
- Blood in your urine or urine that has an unusual smell or color.
- Fever, chills, or body aches.
- Great discomfort or pain:
- While urinating or after ejaculation.
- In your abdomen (belly), between your scrotum and anus, or in your scrotum or penis.
Contact your provider if you have any of these symptoms.
How are prostate diseases diagnosed?
To find out if you have a prostate problem, your provider will:
- Ask about your medical history and symptoms.
- Ask about your family health history.
- Do a physical exam. The exam may include a digital rectal exam (DRE) of your prostate. In a DRE, your provider inserts a gloved finger into your rectum to feel the general size and condition of your prostate.
- Order tests, if needed. Tests may include:
- Blood and urine tests to look for infection.
- Urodynamic testing to see how well you can hold and release urine.
- Cystoscopy to look inside your urethra and bladder.
- Ultrasound pictures of your prostate and urinary tract.
- A PSA blood test (prostate-specific antigen test).
- Prostate biopsy to diagnose or rule out cancer.
Treatment depends on what prostate disease you have and which symptoms bother you most.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)