All ICD10 Codes

N42

Non-Billable
ChapterN00–N99
Rankcategory
Official Description

Other and unspecified disorders of prostate

Use a more specific code (3 billable, 2 non-billable)
N42.0Calculus of prostateN42.1Congestion and hemorrhage of prostateN42.3Dysplasia of prostatehas subcodesN42.8Other specified disorders of prostatehas subcodesN42.9Disorder of prostate, unspecified
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 14: Diseases of the Genitourinary System (N00-N99).

CH14 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Clinical Hierarchy

BillableHas subcodes
CH14Diseases of the genitourinary system (N00-N99)
N40-N53Diseases of male genital organs (N40-N53)
N42Other and unspecified disorders of prostateNot billable
N42.0Calculus of prostateBillable
N42.1Congestion and hemorrhage of prostateBillable
N42.3Dysplasia of prostateSubcodes
N42.8Other specified disorders of prostateSubcodes
N42.9Disorder of prostate, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to N42:

chapterCH14
Diseases of the genitourinary system (N00-N99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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