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N42.1

N42.1: Congestion and hemorrhage of prostate

Billable / specific codeICD-10-CM

N42.1 is a billable, specific ICD-10-CM code for congestion and hemorrhage of prostate. It is valid for submission on a claim.

Check N42.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • enlarged prostate (N40.-)
  • hematuria (R31.-)
  • hyperplasia of prostate (N40.-)
  • inflammatory diseases of prostate (N41.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Congestion, congestive›prostate(active)
  • Hemorrhage, hemorrhagic›prostate

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under N42

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.