2026 ICD-10-CM Diagnosis Code N42.89Other specified disorders of prostate

ICD-10-CM Codes›N00–N99›N40-N53›N42

ICD-10-CM N42.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N42.89 is a billable ICD-10-CM diagnosis code for other specified disorders of prostate. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 729 through 730. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified male genital disorders.

Code Identity

ICD-10-CM Code
N42.89
Billable Status
Yes — Valid for Submission
Code Describes
Other specified disorders of prostate
Short Description
Other specified disorders of prostate
Same as the full description in the CMS dataset.
Parent Code
N42.8
Other specified disorders of prostate

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN40-N53Diseases of male genital organs
CategoryN42Other and unspecified disorders of prostate
This CodeN42.89Other specified disorders of prostate

Code EditsBilling

Medicare Code Editor checks that affect claim validity for N42.89.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Asymmetry of prostate
  • Atrophy of prostate
  • Boggy prostate
  • Calcification of prostate
  • Escape of urine from prostate
  • Extravasation of urine from prostate
  • Fistula of prostate
  • Hypoplasia of prostate
  • Infarction of prostate
  • Injury of prostate
  • Loss of median groove of prostate
  • Median bar of prostate
  • Pelvic swelling
  • Periprostatic adhesions
  • Prostate consistency finding
  • Prostate surface finding
  • Prostatic fistula to colon
  • Prostatic fistula to skin
  • Prostatic fistula to small intestine
  • Prostatorrhea
  • Rectoprostatic fistula
  • Squamous metaplasia of prostate gland
  • Stricture of prostate
  • Stricture of prostatic urethra
  • Swelling of male genital structure
  • Swollen prostate
  • Tenderness of male genital structure
  • Tenderness of prostate

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Accumulation secretion, prostate
    • Adhesions, adhesive(postinfective)
      • periprostatic
    • Atrophy, atrophic(of)
      • prostate
    • Cicatrix(adherent) (contracted) (painful) (vicious)
      • prostate
    • Contraction(s), contracture, contracted
      • prostate
    • Corpora
      • amylacea, prostate
    • Deformity
      • prostate (congenital)
        • acquired
    • Dilatation
      • prostate
    • Disease, diseased
      • prostate
        • specified NEC
    • Disorder(of)
      • prostate
        • specified NEC
    • Fistula(cutaneous)
      • prostate
    • Granuloma
      • prostate
    • Infarct, infarction
      • prostate
    • Prostatorrhea
    • Stricture
      • prostate

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN016
Other specified male genital disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Prostate Diseases

The prostate is a gland in the male reproductive system. It lies just below the bladder. It makes fluid that is part of semen.

The full article covers:

  • What is the prostate?
  • What are prostate diseases?
  • Who is more likely to develop prostate diseases?
  • What are the symptoms of prostate diseases?
  • How are prostate diseases diagnosed?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N42.89 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
602.2 Atrophy of prostate
Approximate The match is approximate rather than exact.
ICD-9-CM
602.8 Prostatic disorders NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N42.89Overview

Is N42.89 (Other specified disorders of prostate) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other specified disorders of prostate on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N42.89 group to?

When other specified disorders of prostate is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 730, with relative weights from 0.6720 to 1.0587 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can N42.89 be reported for?

The Medicare Code Editor checks other specified disorders of prostate against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of N42.89?

Under the General Equivalence Mappings, other specified disorders of prostate converts to ICD-9-CM 602.2 (atrophy of prostate) and 602.8 (prostatic disorders NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.