1. ICD-10-CM Codes
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2. N00-N99 Diseases of the genitourinary system
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3. N40-N53 Diseases of male genital organs
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4. N42- Other and unspecified disorders of prostate
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2019 ICD-10-CM Diagnosis Code N42.89

Other specified disorders of prostate

2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Male Dx

• N42.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2019 edition of ICD-10-CM N42.89 became effective on October 1, 2018.
• This is the American ICD-10-CM version of N42.89 - other international versions of ICD-10 N42.89 may differ.

• N42.89 is applicable to adult patients aged 15 - 124 years inclusive.
• N42.89 is applicable to male patients.

• Acquired asymmetry of prostate
• Asymmetry of prostate, acquired
• Atrophic prostate
• Atrophy of prostate
• Atypical small acinar proliferation
• Atypical small acinar proliferation of prostate
• Fistula of prostate
• Infarction of prostate
• Stricture of prostate

• 729 Other male reproductive system diagnoses with cc/mcc
• 730 Other male reproductive system diagnoses without cc/mcc

Convert N42.89 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change

• Accumulation secretion, prostate N42.89
• Adhesions, adhesive (postinfective) K66.0
  ICD-10-CM Diagnosis Code K66.0

  Peritoneal adhesions (postprocedural) (postinfection)

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Adhesions (of) abdominal (wall)
  • Adhesions (of) diaphragm
  • Adhesions (of) intestine
  • Adhesions (of) male pelvis
  • Adhesions (of) omentum
  • Adhesions (of) stomach
  • Adhesive bands
  • Mesenteric adhesions

  Type 1 Excludes

  • female pelvic adhesions [bands] (N73.6)
  • peritoneal adhesions with intestinal obstruction (K56.5-)
  • periprostatic N42.89
• Atrophy, atrophic (of)
  • prostate N42.89
• Cicatrix (adherent) (contracted) (painful) (vicious) L90.5
  - see also Scar
  ICD-10-CM Diagnosis Code L90.5

  Scar conditions and fibrosis of skin

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Adherent scar (skin)
  • Cicatrix
  • Disfigurement of skin due to scar
  • Fibrosis of skin NOS
  • Scar NOS

  Type 2 Excludes

  • hypertrophic scar (L91.0)
  • keloid scar (L91.0)
  • prostate N42.89
• Contraction(s)
  • prostate N42.89
• Corpora - see also condition
  • amylacea, prostate N42.89
• Deformity Q89.9
  ICD-10-CM Diagnosis Code Q89.9

  Congenital malformation, unspecified

  2016 2017 2018 2019 Billable/Specific Code POA Exempt

  Applicable To

  • Congenital anomaly NOS
  • Congenital deformity NOS
  • prostate (congenital) Q55.4
    ICD-10-CM Diagnosis Code Q55.4

    Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

    2016 2017 2018 2019 Billable/Specific Code Male Dx POA Exempt

    Applicable To

    • Absence or aplasia of prostate
    • Absence or aplasia of spermatic cord
    • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
    • acquired N42.89
• Dilatation
  • prostate N42.89
• Disease, diseased - see also Syndrome
  • prostate N42.9
    ICD-10-CM Diagnosis Code N42.9

    Disorder of prostate, unspecified

    2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Male Dx
    • specified NEC N42.89
• Disorder (of) - see also Disease
  • prostate N42.9
    ICD-10-CM Diagnosis Code N42.9

    Disorder of prostate, unspecified

    2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Male Dx
    • specified NEC N42.89
• Fistula (cutaneous) L98.8
  ICD-10-CM Diagnosis Code L98.8

  Other specified disorders of the skin and subcutaneous tissue

  2016 2017 2018 2019 Billable/Specific Code
  • prostate N42.89
• Granuloma L92.9
  ICD-10-CM Diagnosis Code L92.9

  Granulomatous disorder of the skin and subcutaneous tissue, unspecified

  2016 2017 2018 2019 Billable/Specific Code

  Type 2 Excludes

  • umbilical granuloma (P83.81)
  • prostate N42.89
• Infarct, infarction
  • prostate N42.89
• Prostatorrhea N42.89
• Stricture - see also Stenosis
  • prostate N42.89

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.