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v1.0.0
ICD-10 Guide
ICD-10 CodesN41.8

N41.8

Billable

Other inflammatory diseases of prostate

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

Code Description

ICD-10 N41.8 is a billable code used to indicate a diagnosis of other inflammatory diseases of prostate.

Key Diagnostic Point:

N41.8 refers to other inflammatory diseases of the prostate that do not fall under more specific categories such as acute prostatitis or chronic prostatitis. This code encompasses a variety of inflammatory conditions affecting the prostate gland, which can lead to symptoms such as pelvic pain, urinary difficulties, and sexual dysfunction. Conditions like non-bacterial prostatitis, which may not have a clear infectious cause, can also be included under this code. The prostate gland, located below the bladder and surrounding the urethra, can become inflamed due to various factors, including autoimmune responses, infections, or irritants. Symptoms may vary widely, and diagnosis often involves ruling out other prostate disorders, such as benign prostatic hyperplasia (BPH) or prostate cancer. Elevated prostate-specific antigen (PSA) levels may be observed, necessitating further evaluation. Treatment options may include anti-inflammatory medications, lifestyle changes, and in some cases, surgical interventions. Accurate coding is essential for proper management and reimbursement, as these conditions can significantly impact a patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of inflammatory conditions that can be coded under N41.8
  • Need for differentiation from other prostate disorders like BPH and prostatitis
  • Potential overlap with other ICD-10 codes
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Inadequate documentation of the specific inflammatory condition
  • Misclassification of symptoms leading to incorrect coding
  • Failure to document prior treatments or responses
  • Inconsistent use of diagnostic tests like PSA levels

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with pelvic pain, urinary frequency, or difficulty urinating.

Billing Considerations

Urologists must ensure that all relevant tests, including PSA levels, are documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Men presenting with urinary symptoms or pelvic discomfort.

Billing Considerations

Primary care providers should document any referrals to urology and the rationale for further evaluation.

Coding Guidelines

Inclusion Criteria

Use N41.8 When
  • According to the official coding guidelines, N41
  • 8 should be used when the inflammatory disease of the prostate is documented but does not fit into more specific categories
  • Coders should ensure that the documentation clearly supports the diagnosis and that other potential causes of symptoms are ruled out

Exclusion Criteria

Do NOT use N41.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52000CPT Code

Cystoscopy

Clinical Scenario

Used to evaluate urinary symptoms and prostate conditions.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists must ensure that the procedure is justified based on clinical symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of prostate conditions, including inflammatory diseases. N41.8 provides a distinct code for conditions that do not fit into more defined categories, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of prostate conditions, including inflammatory diseases. N41.8 provides a distinct code for conditions that do not fit into more defined categories, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 N41.8?

Symptoms may include pelvic pain, urinary frequency, urgency, and sexual dysfunction. It's important to document all symptoms to support the diagnosis.

How do I differentiate N41.8 from other prostate codes?

N41.8 is used when the inflammatory disease does not fit into more specific categories like acute or chronic prostatitis. Documentation should clarify the specific condition.