ICD-10-CM Code N42.9

Valid for Submission

N42.9 is a billable code used to specify a medical diagnosis of disorder of prostate, unspecified. The code is valid for the year 2020 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 or 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.

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:

• - Disease, diseased - See Also: Syndrome;
  • - prostate - N42.9

• - Disorder (of) - See Also: Disease;
  • - prostate - N42.9

• - Irregular, irregularity
  • - prostate - N42.9

• - Palpable
  • - prostate - N42.9

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:

• Disorder of prostate
• Lesion of prostate
• Problem of prostate

Diagnostic Related Groups

The ICD-10 code N42.9 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.

• 729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
• 730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert N42.9 to ICD-9

• 602.9 - Prostatic disorder NOS

Code Classification

• Diseases of the genitourinary system (N00–N99)
  • Diseases of male genital organs (N40-N53)
    • Other and unspecified disorders of prostate (N42)

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 - No Change, effective from 10/1/2016 through 9/30/2017
• 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

Tools

• Copy Code
• Copy Description
• View Related Codes
• Convert N42.9 to ICD-9