N40.3
N40.3: Nodular prostate with lower urinary tract symptoms
Billable / specific codeICD-10-CM
N40.3 is a billable, specific ICD-10-CM code for nodular prostate with lower urinary tract symptoms. It is valid for submission on a claim.
Check N40.3 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
- 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)
Excludes1 inherited from the categories above N40.3
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above N40.3
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with N40.3
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.
Medicare coverage
N40.3 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52986Billing and Coding: Biomarkers for Oncology
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56467Billing and Coding: Laser Ablation of the Prostate
- A56802Billing and Coding: Urodynamics
Alphabetic index entries that lead here
- Nodule, nodular›prostate›with lower urinary tract symptoms(LUTS)
- Enlargement, enlarged›prostate›nodular›with lower urinary tract symptoms(LUTS)
- Enlargement, enlarged›prostate›with lower urinary tract symptoms›nodular
- Hyperplasia, hyperplastic›prostate›nodular›with lower urinary tract symptoms(LUTS)
- Hyperplasia, hyperplastic›prostate›with lower urinary tract symptoms›nodular
Code history
Unchanged in every release from FY2024 to FY2027.