ICD-10 Code N42.9
Disorder of prostate, unspecified
| ICD-10: | N42.9 |
| Short Description: | Disorder of prostate, unspecified |
| Long Description: | Disorder of prostate, unspecified |
Valid for Submission
ICD-10 N42.9 is a billable code used to specify a medical diagnosis of disorder of prostate, unspecified. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.
Code Classification
- Diseases of the genitourinary system (N00–N99)
Information for Medical Professionals
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 - Diagnoses for males only.
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). The diagnosis code N42.9 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.
- 729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
- 730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
Convert N42.9 to ICD-9
The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:
- 602.9 - Prostatic disorder NOS
Synonyms
The following clinical terms are approximate synonyms:
- Disorder of prostate
- Lesion of prostate
- Problem of prostate
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
Information for Patients
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
- 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)
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ICD-10 Footnotes
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.