ICD-10-CM Code N40.0

Benign prostatic hyperplasia without lower urinary tract symptoms

Version 2020 Billable Code Adult Diagnoses Diagnoses For Males Only

Valid for Submission

N40.0 is a billable code used to specify a medical diagnosis of benign prostatic hyperplasia without lower urinary tract symptoms. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N40.0 might also be used to specify conditions or terms like aggravated prostatism, benign localized hyperplasia of prostate, benign localized prostatic hyperplasia without outflow obstruction, benign prostatic hyperplasia, benign prostatic hypertrophy without outflow obstruction, hyperplasia of prostate, etc

The code N40.0 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:N40.0
Short Description:Benign prostatic hyperplasia without lower urinry tract symp
Long Description:Benign prostatic hyperplasia without lower urinary tract symptoms

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N40.0:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Enlarged prostate without LUTS
  • Enlarged prostate NOS

Index to Diseases and Injuries

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 the code N40.0 are found in the index:


Code Edits

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:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
  • Diagnoses for males only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Aggravated prostatism
  • Benign localized hyperplasia of prostate
  • Benign localized prostatic hyperplasia without outflow obstruction
  • Benign prostatic hyperplasia
  • Benign prostatic hypertrophy without outflow obstruction
  • Hyperplasia of prostate
  • Large prostate
  • Minimally enlarged prostate
  • Obstruction of urethra
  • Prostate enlarged on PR
  • Prostatic hyperplasia of the lateral lobe
  • Prostatic hyperplasia of the medial lobe
  • Prostatic obstruction
  • Prostatism
  • Size of prostate - finding
  • Size of prostate - finding

Diagnostic Related Groups

The ICD-10 code N40.0 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 725 - BENIGN PROSTATIC HYPERTROPHY WITH MCC
  • 726 - BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC

Convert N40.0 to ICD-9

  • 600.00 - BPH w/o urinary obs/LUTS (Approximate Flag)

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Diseases of male genital organs (N40-N53)
      • Benign prostatic hyperplasia (N40)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - Code Updated, effective from 10/1/2016 through 9/30/2017
    • New Description: Enlarged prostate without lower urinary tract symptoms
    • Previous Description: Enlarged prostate without lower urinary tract symptoms
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Enlarged Prostate (BPH)

The prostate is a gland in men. It helps make semen, the fluid that contains sperm. The prostate surrounds the tube that carries urine out of the body. As men age, their prostate grows bigger. If it gets too large, it can cause problems. An enlarged prostate is also called benign prostatic hyperplasia (BPH). Most men will get BPH as they get older. Symptoms often start after age 50.

BPH is not cancer, and it does not seem to increase your chance of getting prostate cancer. But the early symptoms are the same. Check with your doctor if you have

  • A frequent and urgent need to urinate, especially at night
  • Trouble starting a urine stream or making more than a dribble
  • A urine stream that is weak, slow, or stops and starts several times
  • The feeling that you still have to go, even just after urinating
  • Small amounts of blood in your urine

Severe BPH can cause serious problems over time, such as urinary tract infections, and bladder or kidney damage. If it is found early, you are less likely to develop these problems.

Tests for BPH include a digital rectal exam, blood and imaging tests, a urine flow study, and examination with a scope called a cystoscope. Treatments include watchful waiting, medicines, nonsurgical procedures, and surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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