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N42.1

Billable

Congestion and hemorrhage of prostate

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

What This Code Means

Swelling and bleeding within the prostate gland, often resulting from inflammation, infection, or trauma.

Coding Tips

  • Note the severity and whether bleeding is causing hematuria or other complications
  • Investigate underlying cause (infection, trauma, or other condition) for more complete coding

Excludes 1 — Do NOT code together

  • enlarged prostate (N40.-)
  • hematuria (R31.-)
  • hyperplasia of prostate (N40.-)
  • inflammatory diseases of prostate (N41.-)

Code Hierarchy

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