ICD-10 Coding for Transurethral Resection of the Prostate (TURP)(N40.1, C61)
Complete ICD-10-CM coding and documentation guide for Transurethral Resection of the Prostate (TURP). Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Transurethral Resection of the Prostate (TURP)
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N40.1 | Benign prostatic hyperplasia with lower urinary tract symptoms | Use for TURP performed due to BPH with LUTS. |
|
| C61 | Malignant neoplasm of prostate | Use when TURP is performed in the context of prostate cancer. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for TURP
Essential facts and insights about Transurethral Resection of the Prostate (TURP)
Primary ICD-10-CM Codes for turp
Decision Criteria
clinical Criteria
- Presence of LUTS and BPH diagnosis
C61 - Malignant neoplasm of prostate
Use when TURP is performed in the context of prostate cancer.
Applicable To
- Prostate cancer
Excludes
- Benign prostatic hyperplasia (N40.1)
Clinical Validation Requirements
- Pathology report confirming malignancy
- Gleason score documentation
Coding Notes
Ensure cancer diagnosis is supported by pathology.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Resection of prostate, via natural or artificial opening endoscopic
0VT08ZZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Transurethral Resection of the Prostate (TURP) to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N40.1.
Impact
Clinical: Inaccurate patient treatment records., Regulatory: Potential audit failures., Financial: Denied claims or incorrect reimbursement.
Mitigation Strategy
Verify surgical history before coding, Ensure complete documentation of prior procedures
Impact
Reimbursement: Incorrect DRG assignment leading to payment issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Use 52630 for repeat TURP after initial procedure.
Impact
Risk of using initial TURP code for repeat procedures.
Mitigation Strategy
Verify and document prior TURP history.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Transurethral Resection of the Prostate (TURP), with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Transurethral Resection of the Prostate (TURP)
Use these documentation templates to ensure complete and accurate documentation for Transurethral Resection of the Prostate (TURP). These templates include all required elements for proper coding and billing.
Repeat TURP Procedure
Specialty: UrologyRequired Elements
- Pre-op diagnosis
- Procedure details
- Post-op findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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