ICD-10 Coding for Urinary Frequency due to Benign Prostatic Hypertrophy(N40.1, R35.0)
Complete ICD-10-CM coding and documentation guide for Urinary Frequency due to Benign Prostatic Hypertrophy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Urinary Frequency due to Benign Prostatic Hypertrophy
N40-N51Primary Range
Diseases of male genital organs
This range includes codes for benign prostatic hyperplasia and related urinary symptoms.
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 when urinary frequency is directly linked to BPH with documented LUTS. |
|
| R35.0 | Urinary frequency | Use as a secondary code when urinary frequency is a significant symptom. |
|
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 urinary frequency due to BPH
Essential facts and insights about Urinary Frequency due to Benign Prostatic Hypertrophy
Primary ICD-10-CM Codes for urinary frequency due to benign prostatic hypertrophy
Decision Criteria
clinical Criteria
- Presence of LUTS with BPH confirmed by diagnostic tests.
documentation Criteria
- Explicit linkage of urinary frequency to BPH in medical records.
Applicable To
- BPH with urinary frequency
- BPH with LUTS
Excludes
- Prostatitis (N41.-)
Clinical Validation Requirements
- IPSS score ≥8
- Prostate volume >30 mL on ultrasound
- Qmax <10 mL/s on uroflowmetry
Code-Specific Risks
- Incorrect use without documented LUTS
- Missing IPSS or uroflowmetry results
Coding Notes
- Ensure documentation explicitly links urinary frequency to BPH.
R35.0 - Urinary frequency
Use as a secondary code when urinary frequency is a significant symptom.
Applicable To
- Frequent urination
Excludes
- Nocturia (R35.1)
Clinical Validation Requirements
- 24-hour voiding diary showing >8 voids/day
Coding Notes
Document frequency details and link to BPH.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Urinary frequency
R35.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Bladder neck obstruction
N32.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Urinary Frequency due to Benign Prostatic Hypertrophy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N40.1.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Provide detailed symptom descriptions., Link symptoms explicitly to BPH.
Impact
Reimbursement: Potential lower reimbursement due to unspecified coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient symptoms and treatment.
Mitigation Strategy
Ensure LUTS are documented and use N40.1.
Impact
Failure to document LUTS can lead to coding errors.
Mitigation Strategy
Ensure all LUTS are documented and linked to BPH.
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 Urinary Frequency due to Benign Prostatic Hypertrophy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Urinary Frequency due to Benign Prostatic Hypertrophy
Use these documentation templates to ensure complete and accurate documentation for Urinary Frequency due to Benign Prostatic Hypertrophy. These templates include all required elements for proper coding and billing.
Urology Progress Note
Specialty: UrologyRequired Elements
- Patient symptoms
- IPSS score
- Diagnostic test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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