N40
N40: Benign prostatic hyperplasia
Non-billable headerICD-10-CM
N40 is a non-billable header ICD-10-CM code for benign prostatic hyperplasia. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- benign neoplasms of prostate (adenoma, benign) (fibroadenoma) (fibroma) (myoma) (D29.1)
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- malignant neoplasm of prostate (C61)
Includes
Conditions this code covers.
- adenofibromatous hypertrophy of prostate
- benign hypertrophy of the prostate
- benign prostatic hypertrophy
- BPH
- enlarged prostate
- nodular prostate
- polyp of prostate
Other codes that can never be billed with N40
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead N40
4 child codes. Green means billable.