Diagnosis Code D40.0
Information for Medical Professionals
The following edits are applicable to this code:
Diagnoses for males only - Diagnoses for males only.
Diagnostic Related Groups
The diagnosis code D40.0 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)
- 715 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
- 716 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
- 717 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
- 718 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT CC/MCC
Convert to ICD-9
- 236.5 - Unc behav neo prostate
- Neoplasm of uncertain behavior of male genital organ
- Neoplasm of uncertain behavior of prostate
Table of Neoplasms
The code D40.0 is included 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.
The Tabular must be reviewed for the complete diagnosis code.
Information for Patients
The prostate is a gland in men. It helps make semen, the fluid that contains sperm. The prostate surrounds the tube that carries urine away from the bladder and out of the body. A young man's prostate is about the size of a walnut. It slowly grows larger with age. If it gets too large, it can cause problems. This is very common after age 50. The older men get, the more likely they are to have prostate trouble.
Some common problems are
- Prostatitis - inflammation, usually caused by bacteria
- Enlarged prostate (BPH), or benign prostatic hyperplasia - a common problem in older men which may cause dribbling after urination or a need to go often, especially at night
- Prostate cancer - a common cancer that responds best to treatment when detected early
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
- Digital rectal exam (Medical Encyclopedia)
- Prostatitis - acute (Medical Encyclopedia)
- Prostatitis - nonbacterial (Medical Encyclopedia)
- Prostatitis-bacterial - self-care (Medical Encyclopedia)
- Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.