N40.1

Benign prostatic hyperplasia with lower urinary tract symptoms

Billable / specific

N40.1 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Enlarged prostate with LUTS

Includes (from N40)

  • adenofibromatous hypertrophy of prostate
  • benign hypertrophy of the prostate
  • benign prostatic hypertrophy
  • BPH
  • enlarged prostate
  • nodular prostate
  • polyp of prostate

Excludes1

Not coded here — never report together with this code.

  • benign neoplasms of prostate (adenoma, benign) (fibroadenoma) (fibroma) (myoma) (D29.1) (from N40)

Excludes2

Not included here — may be reported together when both conditions exist.

  • certain conditions originating in the perinatal period (P04-P96) (from N40)
  • certain infectious and parasitic diseases (A00-B99) (from N40)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from N40)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from N40)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from N40)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from N40)
  • neoplasms (C00-D49) (from N40)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from N40)
  • malignant neoplasm of prostate (C61) (from N40)

Use additional code

Add a code to identify the following, if applicable.

  • code for associated symptoms, when specified:
  • incomplete bladder emptying (R39.14)
  • nocturia (R35.1)
  • straining on urination (R39.16)
  • urinary frequency (R35.0)
  • urinary hesitancy (R39.11)
  • urinary incontinence (N39.4-)
  • urinary obstruction (N13.8)
  • urinary retention (R33.8)
  • urinary urgency (R39.15)
  • weak urinary stream (R39.12)

Also known as

  • Enlarged prostate with LUTS
  • Enlargement, enlarged, prostate, with lower urinary tract symptoms
  • Hyperplasia, hyperplastic, prostate, with lower urinary tract symptoms

Parent code

  • N40Benign prostatic hyperplasiaHeader

Related codes

  • N40.0Benign prostatic hyperplasia without lower urinary tract symptomsBillable
  • N40.2Nodular prostate without lower urinary tract symptomsBillable
  • N40.3Nodular prostate with lower urinary tract symptomsBillable

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