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N42.32 ICD-10-CM Code: Atypical small acinar proliferation of prostate

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Diseases of male genital organs (N40-N53)

N42.32

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Atypical small acinar proliferation of prostate

A microscopic finding on prostate biopsy showing small clusters of abnormal cells that are difficult to classify and may indicate increased cancer risk.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
N42Other and unspecified disorders of prostate
N42.3Dysplasia of prostate
N42.32Atypical small acinar proliferation of prostate

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N42.32 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N42.32 in this effective period.

Related Child Codes

Official
N42.30Unspecified dysplasia of prostate
N42.31Prostatic intraepithelial neoplasia
N42.39Other dysplasia of prostate

Includes

Official

ICD-10-CM does not list Includes notes for N42.32 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for N42.32 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N42.32 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N42.32 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N42.32 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
ASAP is a diagnostic challenge requiring expert pathology review and clinical correlation
Ensure pathology report explicitly documents ASAP diagnosis before coding

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is N42.32 an HCC code?

No. N42.32 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
N42.32
Description
Atypical small acinar proliferation of prostate
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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

What This Code Means

N42.32 is the ICD-10-CM diagnosis code for atypical small acinar proliferation of prostate. A microscopic finding on prostate biopsy showing small clusters of abnormal cells that are difficult to classify and may indicate increased cancer risk. N42.32 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering diseases of male genital organs (n40-n53).

N42.32 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

ASAP is a diagnostic challenge requiring expert pathology review and clinical correlation.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N42.32 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • ASAP is a diagnostic challenge requiring expert pathology review and clinical correlation
  • Ensure pathology report explicitly documents ASAP diagnosis before coding

Child Codes

Code Hierarchy

N42.32 code history

Code setChange
FY2017 (effective Oct 1, 2016)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Work N42.32 in HCC Buddy

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