Other and unspecified disorders of prostate

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.

• Chronic kidney disease (page 62)

Read Section I.C.14 (page 62)

All codes under N42

N42 can't be used on a claim. Pick a billable code below; grey headings group them.

• N42.0Calculus of prostate
• N42.1Congestion and hemorrhage of prostate
• N42.3Dysplasia of prostate
• N42.30Unspecified dysplasia of prostate
• N42.31Prostatic intraepithelial neoplasia
• N42.32Atypical small acinar proliferation of prostate
• N42.39Other dysplasia of prostate
• N42.8Other specified disorders of prostate
• N42.81Prostatodynia syndrome
• N42.82Prostatosis syndrome
• N42.83Cyst of prostate
• N42.89Other specified disorders of prostate
• N42.9Disorder of prostate, unspecified

N42 MS-DRGs

As the principal diagnosis, the billable codes under N42 group to MS-DRG 729, 730, 725, or 726 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

• DRG 729 Other Male Reproductive System Diagnoses with CC/MCC (10 of 11 codes)
• DRG 730 Other Male Reproductive System Diagnoses without CC/MCC (10 of 11 codes)
• DRG 725 Benign Prostatic Hypertrophy with MCC (1 of 11 codes)
• DRG 726 Benign Prostatic Hypertrophy without MCC (1 of 11 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.