Pathology/Lab Coding Alert

ICD-10:

Follow the BPH Disappearing Act

You won’t find the term in the new diagnosis code set.

If you can’t find the code descriptor “benign prostatic hyperplasia” (BPH) in ICD-10, does that mean you won’t have a way to report the condition once the new code set goes into effect on Oct. 1, 2015?

No: You may not see the term “BPH” as an ICD-10 code definition, but you’ll see the same condition under a different name: enlarged prostate. 

Do this: Beginning Oct. 1, report the condition using one of these codes:

  • N40.0 — Enlarged prostate without lower urinary tract symptoms (luts)
  • N40.1 — Enlarged prostate with lower urinary tract symptoms (luts).

You’ll choose one of the preceding two codes instead of one of the following six ICD-9 codes once you make the diagnosis code-set switch next fall:

  • 600.00 — Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptoms (luts)
  • 600.01 — Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts)
  • 600.20 — Benign localized hyperplasia of prostate without urinary obstruction and other lower urinary tract symptoms (luts)
  • 600.21 — Benign localized hyperplasia of prostate with urinary obstruction and other lower urinary tract symptoms (luts)
  • 600.90 — Hyperplasia of prostate, unspecified, without urinary obstruction and other lower urinary symptoms (luts)
  • 600.91 — Hyperplasia of prostate, unspecified, with urinary obstruction and other lower urinary symptoms (luts).