Benign prostatic hypertrophy without mcc DRG 726

The 2024 Diagnosis Related Groups dataset

DRG 726

Benign prostatic hypertrophy without mcc

N40.0  Benign prostatic hyperplasia without lower urinary tract symptoms

• N40.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• Short description: Benign prostatic hyperplasia without lower urinry tract symp
• The 2024 edition of ICD-10-CM N40.0 became effective on October 1, 2023.
• This is the American ICD-10-CM version of N40.0 – other international versions of ICD-10 N40.0 may differ.

ICD-10-CM Coding Rules

• N40.0 is applicable to adult patients aged 15 – 124 years inclusive.
• N40.0 is applicable to male patients.

Applicable To

• Enlarged prostate without LUTS
• Enlarged prostate NOS

The following code(s) above N40.0 contain annotation back-references

 that may be applicable to N40.0:

• N00-N99  Diseases of the genitourinary system
• N40  Benign prostatic hyperplasia

Approximate Synonyms

• Benign localized hyperplasia of prostate
• Benign localized prostatic hyperplasia (bph)
• Benign prostatic hyperplasia
• Benign prostatic hyperplasia (bph)
• Enlarged prostate
• Hyperplasia of prostate
• Hyperplasia of prostate without urinary obstruction
• Large prostate

ICD-10-CM N40.0 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

• 725 Benign prostatic hypertrophy with mcc
• 726 Benign prostatic hypertrophy without mcc

Convert N40.0 to ICD-9-CMCode History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): Revised code
  • New description: Benign prostatic hyperplasia without lower urinary tract symptoms
  • 2016 description: Enlarged prostate without lower urinary tract symptoms
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change
• 2024 (effective 10/1/2023): No change

Diagnosis Index entries containing back-references to N40.0:

• Enlargement, enlarged – see also Hypertrophy
  • prostate N40.0
    • without lower urinary tract symtpoms (LUTS) N40.0
• Hyperplasia, hyperplastic
  • prostate (adenofibromatous) N40.0
    • without lower urinary tract symtpoms (LUTS) N40.0

N40.1  Benign prostatic hyperplasia with lower urinary tract symptoms

• N40.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• Short description: Benign prostatic hyperplasia with lower urinary tract symp
• The 2024 edition of ICD-10-CM N40.1 became effective on October 1, 2023.
• This is the American ICD-10-CM version of N40.1 – other international versions of ICD-10 N40.1 may differ.

ICD-10-CM Coding Rules

• N40.1 is applicable to adult patients aged 15 – 124 years inclusive.
• N40.1 is applicable to male patients.

Applicable To

• Enlarged prostate with LUTS

Use Additional

• code for associated symptoms, when specified:
• incomplete bladder emptying (R39.14)
• nocturia (R35.1)
• straining on urination (R39.16)
• urinary frequency (R35.0)
• urinary hesitancy (R39.11)
• urinary incontinence (N39.4-)
• urinary obstruction (N13.8)
• urinary retention (R33.8)
• urinary urgency (R39.15)
• weak urinary stream (R39.12)

The following code(s) above N40.1 contain annotation back-references

 that may be applicable to N40.1:

• N00-N99  Diseases of the genitourinary system
• N40  Benign prostatic hyperplasia

Approximate Synonyms

• Benign prostatic hyperplasia w/ urinary symptoms
• Benign prostatic hypertrophy (enlarged prostate)
• Benign prostatic hypertrophy with outflow obstruction
• Incomplete emptying of bladder due to benign prostatic hypertrophy
• Lower urinary tract symptoms due to benign prostatic hypertrophy
• Nocturia associated with benign prostatic hypertrophy
• Nocturia due to benign prostatic hypertrophy
• Straining on urination due to benign prostatic hypertrophy
• Urinary frequency due to benign prostatic hypertrophy
• Urinary hesitancy due to benign prostatic hypertrophy
• Urinary incontinence due to benign prostatic hypertrophy
• Urinary retention due to benign prostatic hypertrophy
• Urinary urgency due to benign prostatic hypertrophy
• Weak urinary stream due to benign prostatic hypertrophy

ICD-10-CM N40.1 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

• 725 Benign prostatic hypertrophy with mcc
• 726 Benign prostatic hypertrophy without mcc

Convert N40.1 to ICD-9-CMCode History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): Revised code
  • New description: Benign prostatic hyperplasia with lower urinary tract symptoms
  • 2016 description: Enlarged prostate with lower urinary tract symptoms
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change
• 2024 (effective 10/1/2023): No change

Code annotations containing back-references to N40.1:

• Code First: N13.8, R33.8, R35, R39.1

Diagnosis Index entries containing back-references to N40.1:

• Enlargement, enlarged – see also Hypertrophy
  • prostateN40.0
    • with lower urinary tract symptoms (LUTS) N40.1
• Hyperplasia, hyperplastic
  • prostate (adenofibromatous) N40.0
    • with lower urinary tract symptoms (LUTS) N40.1

N40.2  Nodular prostate without lower urinary tract symptoms

• N40.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2024 edition of ICD-10-CM N40.2 became effective on October 1, 2023.
• This is the American ICD-10-CM version of N40.2 – other international versions of ICD-10 N40.2 may differ.

ICD-10-CM Coding Rules

• N40.2 is applicable to adult patients aged 15 – 124 years inclusive.
• N40.2 is applicable to male patients.

Applicable To

• Nodular prostate without LUTS

The following code(s) above N40.2 contain annotation back-references

 that may be applicable to N40.2:

• N00-N99  Diseases of the genitourinary system
• N40  Benign prostatic hyperplasia

Approximate Synonyms

• Nodular prostate without urinary obstruction
• Prostate nodule

ICD-10-CM N40.2 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

• 725 Benign prostatic hypertrophy with mcc
• 726 Benign prostatic hypertrophy without mcc

Convert N40.2 to ICD-9-CMCode History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change
• 2024 (effective 10/1/2023): No change

Diagnosis Index entries containing back-references to N40.2:

• Enlargement, enlarged – see also Hypertrophy
  • prostateN40.0
    • nodular N40.2
    • without lower urinary tract symtpoms (LUTS) N40.0
      • nodular N40.2
• Hyperplasia, hyperplastic
  • prostate (adenofibromatous) N40.0
    • nodular N40.2
    • without lower urinary tract symtpoms (LUTS) N40.0
      • nodular N40.2
• Nodule(s)
  • prostate N40.2
    • without lower urinary tract symtpoms N40.2 (LUTS)

N40.3  Nodular prostate with lower urinary tract symptoms

• N40.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2024 edition of ICD-10-CM N40.3 became effective on October 1, 2023.
• This is the American ICD-10-CM version of N40.3 – other international versions of ICD-10 N40.3 may differ.

ICD-10-CM Coding Rules

• N40.3 is applicable to adult patients aged 15 – 124 years inclusive.
• N40.3 is applicable to male patients.

Use Additional

• code for associated symptoms, when specified:
• incomplete bladder emptying (R39.14)
• nocturia (R35.1)
• straining on urination (R39.16)
• urinary frequency (R35.0)
• urinary hesitancy (R39.11)
• urinary incontinence (N39.4-)
• urinary obstruction (N13.8)
• urinary retention (R33.8)
• urinary urgency (R39.15)
• weak urinary stream (R39.12)

The following code(s) above N40.3 contain annotation back-references

 that may be applicable to N40.3:

• N00-N99  Diseases of the genitourinary system
• N40  Benign prostatic hyperplasia

Approximate Synonyms

• Benign prostatic hyperplasia with lower urinary tract symptoms
• Nodular prostate w lower urinary tract symptoms
• Nodular prostate with urinary obstruction
• Urinary obstruction due to nodular prostate

ICD-10-CM N40.3 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

• 725 Benign prostatic hypertrophy with mcc
• 726 Benign prostatic hypertrophy without mcc

Convert N40.3 to ICD-9-CMCode History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change
• 2024 (effective 10/1/2023): No change

Diagnosis Index entries containing back-references to N40.3:

• Enlargement, enlarged – see also Hypertrophy
  • prostateN40.0
    • with lower urinary tract symptoms (LUTS) N40.1
      • nodular N40.3
    • nodularN40.2
      • with lower urinary tract symptoms N40.3 (LUTS)
• Hyperplasia, hyperplastic
  • prostate (adenofibromatous) N40.0
    • with lower urinary tract symptoms (LUTS) N40.1
      • nodular N40.3
    • nodularN40.2
      • with lower urinary tract symptoms N40.3 (LUTS)
• Nodule(s)
  • prostateN40.2
    • with lower urinary tract symptoms N40.3 (LUTS)

N42.83  Cyst of prostate

• N42.83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2024 edition of ICD-10-CM N42.83 became effective on October 1, 2023.
• This is the American ICD-10-CM version of N42.83 – other international versions of ICD-10 N42.83 may differ.

ICD-10-CM Coding Rules

• N42.83 is applicable to adult patients aged 15 – 124 years inclusive.
• N42.83 is applicable to male patients.

The following code(s) above N42.83 contain annotation back-references

 that may be applicable to N42.83:

• N00-N99  Diseases of the genitourinary system

Approximate Synonyms

• Prostate cyst
• Prostatic cyst

ICD-10-CM N42.83 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

• 725 Benign prostatic hypertrophy with mcc
• 726 Benign prostatic hypertrophy without mcc

Convert N42.83 to ICD-9-CMCode History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change
• 2024 (effective 10/1/2023): No change

Diagnosis Index entries containing back-references to N42.83:

• Cyst (colloid) (mucous) (simple) (retention)
  • prostate N42.83