ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN41.3

N41.3

Billable

Prostatocystitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N41.3 is a billable code used to indicate a diagnosis of prostatocystitis.

Key Diagnostic Point:

Prostatocystitis is a condition characterized by inflammation of both the prostate gland and the bladder. This dual inflammation can lead to a range of symptoms including pelvic pain, urinary frequency, urgency, and dysuria. The condition often arises in the context of benign prostatic hyperplasia (BPH), where an enlarged prostate can obstruct urinary flow and contribute to bladder irritation. Prostatitis, which refers specifically to inflammation of the prostate, can be acute or chronic and may be caused by bacterial infections or other non-infectious factors. Elevated prostate-specific antigen (PSA) levels may be observed in patients with prostatitis, complicating the diagnostic process as these levels can also indicate prostate cancer. Urological procedures such as cystoscopy or transrectal ultrasound may be employed to assess the prostate and bladder, and to rule out other conditions. Accurate diagnosis and management are crucial, as prostatocystitis can significantly impact a patient's quality of life and may require a multidisciplinary approach for effective treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between prostatitis and other prostate disorders.
  • Understanding the relationship between BPH and prostatocystitis.
  • Interpreting PSA levels in the context of inflammation.
  • Navigating the documentation requirements for urological procedures.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to specify the type of prostatitis when applicable.
  • Misinterpretation of PSA levels and their relevance.
  • Lack of clarity in the relationship between BPH and prostatocystitis.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with urinary symptoms, pelvic pain, or elevated PSA levels.

Billing Considerations

Ensure clear documentation of the relationship between prostatitis and any urological interventions performed.

Primary Care

Documentation Requirements

Comprehensive history and physical examination notes, including symptom duration and severity.

Common Clinical Scenarios

Initial evaluation of patients with urinary complaints or prostate-related symptoms.

Billing Considerations

Document any referrals to urology and the rationale for further evaluation.

Coding Guidelines

Inclusion Criteria

Use N41.3 When
  • According to the official coding guidelines, N41
  • 3 should be used when both prostatitis and cystitis are documented
  • Coders must ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use N41.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52000CPT Code

Cystoscopy, diagnostic

Clinical Scenario

Used when evaluating prostatocystitis symptoms.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists should ensure clear documentation of findings and any interventions performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of prostatitis and related conditions, improving the accuracy of diagnoses and treatment plans. N41.3 provides a clear distinction between prostatitis and other prostate disorders, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of prostatitis and related conditions, improving the accuracy of diagnoses and treatment plans. N41.3 provides a clear distinction between prostatitis and other prostate disorders, facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of prostatitis and related conditions, improving the accuracy of diagnoses and treatment plans. N41.3 provides a clear distinction between prostatitis and other prostate disorders, facilitating better patient management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of prostatocystitis?

Common symptoms include pelvic pain, urinary frequency, urgency, dysuria, and sometimes fever or chills if an infection is present.

How is prostatocystitis diagnosed?

Diagnosis typically involves a combination of patient history, physical examination, urinalysis, imaging studies, and PSA testing.

What treatments are available for prostatocystitis?

Treatment may include antibiotics for bacterial infections, anti-inflammatory medications, and management of BPH symptoms.

Can prostatocystitis lead to complications?

Yes, untreated prostatocystitis can lead to complications such as chronic pain, urinary retention, or recurrent urinary tract infections.