2022 ICD-10-CM Code N41.3
Prostatocystitis
Code Classification
N41.3 is a billable diagnosis code used to specify a medical diagnosis of prostatocystitis. The code N41.3 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N41.3 might also be used to specify conditions or terms like prostatocystitis.
The code N41.3 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.
Entries in the Index to Diseases and Injuries with references to N41.3
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 N41.3 are found in the index:
- - Cystitis (exudative) (hemorrhagic) (septic) (suppurative) - N30.90
- - with
- - prostatitis - N41.3
- - prostatic - N41.3
- - with
- - Prostatocystitis - N41.3
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 - The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
- Diagnoses for males only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to MALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Prostatocystitis
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code N41.3 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | 12 | 1.4181 |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | 12 | 0.8035 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert N41.3 to ICD-9 Code
- 601.3 - Prostatocystitis
Information for Patients
Bladder Diseases
The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are
- Cystitis - inflammation of the bladder, often from an infection
- Urinary incontinence - loss of bladder control
- Overactive bladder - a condition in which the bladder squeezes urine out at the wrong time
- Interstitial cystitis - a chronic problem that causes bladder pain and frequent, urgent urination
- Bladder cancer
Doctors diagnose bladder diseases using different tests. These include urine tests, x-rays, and an examination of the bladder wall with a scope called a cystoscope. Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Prostate Diseases
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
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| N41 | Inflammatory diseases of prostate | NON-BILLABLE CODE |
| N41.0 | Acute prostatitis | BILLABLE CODE |
| N41.1 | Chronic prostatitis | BILLABLE CODE |
| N41.2 | Abscess of prostate | BILLABLE CODE |
| N41.4 | Granulomatous prostatitis | BILLABLE CODE |
| N41.8 | Other inflammatory diseases of prostate | BILLABLE CODE |
| N41.9 | Inflammatory disease of prostate, unspecified | BILLABLE CODE |
Code History
- 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)
