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N40.1

Billable

Benign prostatic hyperplasia with lower urinary tract symptoms

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

What This Code Means

Enlargement of the prostate gland that causes urinary symptoms such as frequent urination, urgency, or difficulty emptying the bladder.

Coding Tips

  • Requires documentation of specific LUTS symptoms (frequency, urgency, nocturia, weak stream, hesitancy, or incomplete emptying)
  • This is the most commonly used BPH code when symptoms are present

Use Additional Code

  • code for associated symptoms, when specified:
  • incomplete bladder emptying (R39.14)
  • nocturia (R35.1)
  • straining on urination (R39.16)
  • urinary frequency (R35.0)
  • urinary hesitancy (R39.11)
  • urinary incontinence (N39.4-)
  • urinary obstruction (N13.8)
  • urinary retention (R33.8)
  • urinary urgency (R39.15)
  • weak urinary stream (R39.12)

Code Hierarchy

N40Benign prostatic hyperplasiaN40.1Benign prostatic hyperplasia with lower urinary tract symptoms
N40.1Benign prostatic hyperplasia with lower urinary tract symptoms

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