ICD-10 Code for Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms (N40.1)
Most Commonly Used Code: N40.1 is frequently used when a provider documents benign prostatic hyperplasia (BPH) along with urinary complications such as frequency, urgency, or weak urine stream.
Why ICD-10 Codes for BPH Are Important
Benign Prostatic Hyperplasia (BPH) is a common condition in aging men where the prostate gland enlarges and causes urinary difficulties. The ICD-10 code N40.1 helps healthcare providers, hospitals, and billing teams correctly capture cases where urinary tract symptoms are linked to BPH.
Accurate diagnosis reporting
Ensures doctors and hospitals document prostate enlargement together with urinary tract complications.
Medical billing & insurance claims
Correct ICD-10 codes are essential for claim approvals and reimbursement from insurers.
Research & public health tracking
Coding consistency helps track BPH prevalence, treatment effectiveness, and health outcomes across populations.
Common ICD-10 Codes Related to BPH
Benign Prostatic Hyperplasia (BPH) and Related Classifications
N40.0 – Benign prostatic hyperplasia without lower urinary tract symptoms
Prostate enlargement without noticeable urinary issues
N40.1 – Benign prostatic hyperplasia with lower urinary tract symptoms
Prostate enlargement with urinary difficulties (frequency, urgency, weak stream)
N42.81 – Inflammation of prostate
Prostatitis, acute or chronic
R39.14 – Feeling of incomplete bladder emptying
Common complication related to BPH
When to Use These Codes
- N40.1: Enlarged prostate with documented urinary issues (e.g., frequency, nocturia, weak stream).
- N40.0: Enlarged prostate without any urinary tract symptoms.
- N42.81: When prostate inflammation is the primary condition.
Tip:Always code to the highest level of specificity based on physician documentation.
Related Codes & Their Definitions
- N40.0 – Benign prostatic hyperplasia without LUTS: Prostate enlargement, no urinary symptoms
- N42.9 – Prostate disorder, unspecified: Prostate disease NOS
- R39.12 – Poor urinary stream: Weak urine flow due to obstruction
- R39.14 – Incomplete bladder emptying: Common BPH symptom
Common Synonyms for ICD-10 Code N40.1 (BPH with LUTS)
Understanding Benign Prostatic Hyperplasia (BPH)
BPH is a non-cancerous enlargement of the prostate gland, typically affecting men over 50. While not life-threatening, it can cause bothersome urinary symptoms and complications if untreated.
Forms / Patterns of Benign Prostatic Hyperplasia (BPH)
Uncomplicated BPH
Mild symptoms, manageable without intervention
BPH with Complications
Involves urinary retention, recurrent infections, or bladder damage
Chronic/Recurrent BPH Symptoms
Persistent urinary difficulties that may require medical or surgical treatment
Frequently Asked Questions about ICD-10 Code N40.1
Get answers to common questions about ICD-10 Code for N40.1 – Benign prostatic hyperplasia with lower urinary tract symptoms.
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