N41.3 — Prostatocystitis
N41.3 is a billable, specific ICD-10-CM code for prostatocystitis. It is valid for submission on a claim.
Other codes that can never be billed with N41.3
These codes carry an Excludes1 note pointing at N41.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N41.3 alone.
- N30Cystitis
Risk adjustment
N41.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N41.3 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57427Billing and Coding: Transrectal Ultrasound
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
How N41.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N41.3.
- Prostatocystitis
- Cystitis›prostatic
- Cystitis›with›prostatitis
Related codes at this level
Codes that share N41. If N41.3 is not quite right, the correct code is usually one of these.
Questions about N41.3
- Is N41.3 a billable ICD-10-CM code?
- Yes. N41.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N41.3 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).