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 CodesN41.4

N41.4

Billable

Granulomatous prostatitis

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

Code Description

ICD-10 N41.4 is a billable code used to indicate a diagnosis of granulomatous prostatitis.

Key Diagnostic Point:

Granulomatous prostatitis is a rare form of prostatitis characterized by the presence of granulomas in the prostate tissue. It can be caused by various factors, including infections, autoimmune diseases, or as a reaction to certain medications. Clinically, patients may present with symptoms similar to those of benign prostatic hyperplasia (BPH), such as urinary frequency, urgency, and dysuria. The condition can lead to an enlarged prostate, which may complicate the diagnosis and management of prostate disorders. Elevated prostate-specific antigen (PSA) levels are often noted in patients with granulomatous prostatitis, which can mimic prostate cancer, necessitating careful evaluation and differential diagnosis. Urological procedures, such as prostate biopsies, may be performed to confirm the diagnosis, and understanding the underlying cause is crucial for effective treatment. Management may involve addressing the underlying condition, and in some cases, observation may be sufficient if the patient is asymptomatic.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other types of prostatitis
  • Potential overlap with prostate cancer symptoms
  • Need for specific diagnostic procedures (e.g., biopsy)
  • Variability in clinical presentation

Audit Risk Factors

  • Misdiagnosis leading to incorrect coding
  • Inadequate documentation of symptoms and findings
  • Failure to document the reason for elevated PSA levels
  • Lack of clarity on the underlying cause of granulomatous prostatitis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical history, physical examination findings, PSA levels, imaging studies, and biopsy results.

Common Clinical Scenarios

Patients presenting with urinary symptoms, elevated PSA, and abnormal prostate findings.

Billing Considerations

Ensure clear documentation of the diagnostic process and any treatments provided.

Pathology

Documentation Requirements

Histopathological reports confirming the presence of granulomas.

Common Clinical Scenarios

Reviewing prostate biopsy specimens for granulomatous inflammation.

Billing Considerations

Accurate reporting of histological findings is essential for proper coding.

Coding Guidelines

Inclusion Criteria

Use N41.4 When
  • According to ICD
  • 10 guidelines, N41
  • 4 should be used when granulomatous prostatitis is confirmed through histological examination
  • It is important to document the clinical findings and any relevant laboratory results to support the diagnosis

Exclusion Criteria

Do NOT use N41.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

55700CPT Code

Prostate biopsy

Clinical Scenario

Used when a patient presents with elevated PSA and abnormal prostate findings.

Documentation Requirements

Document indications for biopsy, findings, and results.

Specialty Considerations

Urologists must ensure proper coding based on biopsy results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of granulomatous prostatitis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology and treatment outcomes of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of granulomatous prostatitis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology and treatment outcomes of the condition.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the epidemiology and treatment outcomes of the condition.

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 granulomatous prostatitis?

Common symptoms include urinary frequency, urgency, dysuria, and pelvic pain. Symptoms may mimic those of benign prostatic hyperplasia.

How is granulomatous prostatitis diagnosed?

Diagnosis is typically made through a combination of clinical evaluation, elevated PSA levels, and histological examination of prostate tissue obtained via biopsy.

What is the treatment for granulomatous prostatitis?

Treatment may vary based on the underlying cause but can include observation, anti-inflammatory medications, or addressing any infectious agents if identified.