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 CodesN42.89

N42.89

Billable

Other specified disorders of prostate

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

Code Description

ICD-10 N42.89 is a billable code used to indicate a diagnosis of other specified disorders of prostate.

Key Diagnostic Point:

N42.89 encompasses a variety of prostate disorders that do not fall under more specific categories. This includes conditions such as prostatitis, benign prostatic hyperplasia (BPH), and other less common prostate disorders. Prostatitis can be acute or chronic and is characterized by inflammation of the prostate gland, often leading to pelvic pain and urinary symptoms. BPH, a common condition in older men, involves the enlargement of the prostate gland, which can obstruct urine flow and cause symptoms such as frequent urination, urgency, and difficulty starting urination. PSA (prostate-specific antigen) levels are often monitored in patients with prostate disorders, as elevated levels may indicate prostate cancer or other prostate conditions. Urological procedures such as transurethral resection of the prostate (TURP) or prostate biopsies may be performed to diagnose or treat these disorders. Accurate coding for N42.89 requires a thorough understanding of the patient's specific condition and the clinical context, as well as the documentation of symptoms and treatments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation of symptoms
  • Differentiation from other prostate disorders
  • Potential overlap with other ICD-10 codes

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Inconsistent use of terminology
  • Failure to specify the type of prostate disorder
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests (e.g., PSA levels), and treatment plans.

Common Clinical Scenarios

Patients presenting with urinary symptoms, elevated PSA levels, or diagnosed prostatitis.

Billing Considerations

Ensure clarity in the type of prostate disorder and any associated treatments to avoid misclassification.

Primary Care

Documentation Requirements

Comprehensive patient history, including urinary symptoms and any referrals to urology.

Common Clinical Scenarios

Routine screenings for prostate health, management of BPH symptoms, and follow-up on prostatitis.

Billing Considerations

Documenting patient-reported symptoms accurately is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use N42.89 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is well
  • supported by clinical documentation
  • 89 should be used when the specific type of prostate disorder is not documented or is unspecified

Exclusion Criteria

Do NOT use N42.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52601CPT Code

Transurethral resection of the prostate (TURP)

Clinical Scenario

Used for patients with significant BPH symptoms requiring surgical intervention.

Documentation Requirements

Document the indication for surgery, pre-operative assessments, and post-operative care.

Specialty Considerations

Urologists must ensure that the diagnosis aligns with the surgical procedure performed.

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, improving the granularity of data collection and enhancing the ability to track treatment outcomes. N42.89 serves as a catch-all for unspecified disorders, which can lead to challenges in data analysis and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of prostate disorders, improving the granularity of data collection and enhancing the ability to track treatment outcomes. N42.89 serves as a catch-all for unspecified disorders, which can lead to challenges in data analysis and reimbursement.

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

When should I use N42.89 instead of more specific codes?

Use N42.89 when the specific type of prostate disorder is not documented or when the condition does not fit into other defined categories. Ensure that the documentation supports the use of this code.