ICD-10 Code N40.1: Benign prostatic hyperplasia with lower urinary tract symptoms
Diseases of the genitourinary system
ICD-10 code N40.1 identifies benign prostatic hyperplasia with accompanying lower urinary tract symptoms.
Coding guidance
Distinguished from N40.0, which specifies BPH without lower urinary tract symptoms.
Associated symptoms such as urinary frequency, urgency, nocturia or retention should be coded additionally.
The presence or absence of LUTS materially affects treatment planning and authorization.
Documentation and specificity notes
- Code specific urinary symptoms additionally from the N39.- and R39.- categories.
- Document symptom severity, often via a standardized symptom score.
- Supports medical necessity for medical and procedural BPH therapy.
This page provides a general summary for educational purposes and is not a substitute for the official ICD-10-CM code set, the ICD-10-CM Official Guidelines for Coding and Reporting, or payer policy. Code sets are updated annually, verify against the current official release before billing.
FAQ
ICD-10 N40.1, frequently asked questions questions
- What is ICD-10 code N40.1?
- ICD-10 code N40.1 identifies benign prostatic hyperplasia with accompanying lower urinary tract symptoms.
- Is N40.1 a billable ICD-10 code?
- Yes. N40.1 is a billable and specific ICD-10-CM code that may be used to indicate a diagnosis for reimbursement purposes, provided documentation supports it.
- What documentation supports N40.1?
- Code specific urinary symptoms additionally from the N39.- and R39.- categories. Document symptom severity, often via a standardized symptom score. Supports medical necessity for medical and procedural BPH therapy.
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