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 CodesN42.82

N42.82

Billable

Prostatosis syndrome

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

Code Description

ICD-10 N42.82 is a billable code used to indicate a diagnosis of prostatosis syndrome.

Key Diagnostic Point:

Prostatosis syndrome refers to a condition characterized by the presence of symptoms related to prostate disorders, particularly in the context of benign prostatic hyperplasia (BPH) and prostatitis. Patients may experience urinary symptoms such as increased frequency, urgency, nocturia, and weak urinary stream. The condition is often associated with an enlarged prostate, which can lead to obstruction of the urinary tract. Prostatitis, an inflammation of the prostate gland, can also contribute to similar symptoms and may be acute or chronic. Diagnosis typically involves a thorough clinical evaluation, including a digital rectal exam (DRE), assessment of prostate-specific antigen (PSA) levels, and possibly imaging studies. Management may include lifestyle modifications, medications such as alpha-blockers or 5-alpha-reductase inhibitors, and in some cases, surgical interventions. Understanding the nuances of prostatosis syndrome is crucial for accurate coding, as it encompasses a range of prostate-related disorders that can significantly impact a patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between BPH and prostatitis symptoms
  • Variability in clinical presentation among patients
  • Need for comprehensive documentation of urinary symptoms
  • Potential overlap with other prostate disorders

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to correlate PSA levels with clinical findings
  • Misclassification of prostatitis type (acute vs. chronic)
  • Lack of follow-up documentation for ongoing treatment

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including urinary symptoms, DRE findings, and PSA levels.

Common Clinical Scenarios

Evaluation of patients presenting with urinary obstruction symptoms, follow-up for BPH treatment, and management of prostatitis.

Billing Considerations

Ensure clear documentation of the type of prostatitis and any associated urinary symptoms for accurate coding.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings, including urinary symptom assessment.

Common Clinical Scenarios

Initial evaluation of patients with urinary symptoms, referral to urology for further management.

Billing Considerations

Document any referrals and the rationale for specialist involvement to support coding.

Coding Guidelines

Inclusion Criteria

Use N42.82 When
  • According to ICD
  • 10 coding guidelines, N42
  • 82 should be used when the clinical documentation supports a diagnosis of prostatosis syndrome, characterized by urinary symptoms related to prostate disorders
  • It is essential to document the specific symptoms and any relevant diagnostic tests performed, such as PSA levels

Exclusion Criteria

Do NOT use N42.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52000CPT Code

Cystoscopy

Clinical Scenario

Used for evaluation of urinary symptoms related to prostate disorders.

Documentation Requirements

Document indications for cystoscopy and findings.

Specialty Considerations

Urology specialists should ensure detailed procedural notes are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of prostate disorders, including prostatosis syndrome. This specificity helps in better tracking of patient outcomes and resource allocation in healthcare.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of prostate disorders, including prostatosis syndrome. This specificity helps in better tracking of patient outcomes and resource allocation in healthcare.

Reimbursement & Billing Impact

reimbursement.

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 symptoms are associated with prostatosis syndrome?

Symptoms include increased urinary frequency, urgency, nocturia, weak urinary stream, and pelvic pain, often related to BPH or prostatitis.

How is prostatosis syndrome diagnosed?

Diagnosis involves a clinical evaluation, including a digital rectal exam, PSA testing, and assessment of urinary symptoms.

What treatments are available for prostatosis syndrome?

Treatment options include lifestyle changes, medications like alpha-blockers, and surgical interventions for severe cases.