Valid for Submission
N42.9 is a billable diagnosis code used to specify a medical diagnosis of disorder of prostate, unspecified. The code N42.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N42.9 might also be used to specify conditions or terms like disorder of prostate, lesion of prostate or problem of prostate.
The code N42.9 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.
Unspecified diagnosis codes like N42.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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 N42.9 are found in the 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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Disorder of prostate
- Lesion of prostate
- Problem of prostate
Diagnostic Related Groups - MS-DRG Mapping
Convert N42.9 to ICD-9 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)