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D40.0

Billable

Neoplasm of uncertain behavior of prostate

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes an abnormal growth in the prostate gland that cannot yet be determined to be either cancer or a benign (non-cancerous) condition. It represents a finding that requires further testing or monitoring to establish its true nature.

Coding Tips

  • Use this code when pathology reports indicate 'uncertain behavior' or 'borderline' findings rather than definitively benign or malignant diagnoses
  • Do not use this code if the condition has been definitively diagnosed as either benign prostatic hyperplasia (BPH) or prostate cancer; clarify the diagnosis with the provider if uncertain

Code Hierarchy

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