Tuesday, September 27, 2022

Benign Prostatic Hyperplasia With Lower Urinary Tract Symptoms Icd 10

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What Causes Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia

The cause of benign prostatic hyperplasia is not well understood however, it occurs mainly in older men. Benign prostatic hyperplasia does not develop in men whose testicles were removed before puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.

Throughout their lives, men produce testosterone, a male hormone, and small amounts of estrogen, a female hormone. As men age, the amount of active testosterone in their blood decreases, which leaves a higher proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen within the prostate increases the activity of substances that promote prostate cell growth.

Another theory focuses on dihydrotestosterone , a male hormone that plays a role in prostate development and growth. Some research has indicated that even with a drop in blood testosterone levels, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to continue to grow. Scientists have noted that men who do not produce DHT do not develop benign prostatic hyperplasia.

What Is Bph Or An Enlarged Prostate

Benign prostatic hyperplasia, usually abbreviated as BPH, is a male condition where the prostate gland grows larger than normal. This condition can occur as men grow older. As the prostate gland grows, it can squeeze the urethra, blocking the flow of urine and making urination difficult. Benign prostatic hyperplasia is also sometimes called benign prostatic hypertrophy.

The prostate gland is part of the male reproductive tract. It produces a fluid that mixes with sperm to make semen, and is located below the bladder, in front of the rectum, and wraps around the urethra. The urethra is the tube that carries urine through the penis and out of the body.

Personal And Family Medical History

Taking a personal and family medical history is one of the first things a health care provider may do to help diagnose benign prostatic hyperplasia. A health care provider may ask a man

  • what symptoms are present
  • when the symptoms began and how often they occur
  • whether he has a history of recurrent UTIs
  • what medications he takes, both prescription and over the counter
  • how much liquid he typically drinks each day
  • whether he consumes caffeine and alcohol
  • about his general medical history, including any significant illnesses or surgeries

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N403 Nodular Prostate With Lower Urinary Tract Symptoms

NEC Not elsewhere classifiableThis abbreviation in the Tabular List represents other specified. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the other specified code.

NOS Not otherwise specifiedThis abbreviation is the equivalent of unspecified.

This note further define, or give examples of, the content of the code or category.

List of terms is included under some codes. These terms are the conditions for which that code is to be used.The terms may be synonyms of the code title, or, in the case of other specified codes, the terms are a list of the various conditions assigned to that code.The inclusion terms are not necessarily exhaustive. Additional terms found only in the may also be assigned to a code.

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first, if applicable, followed by the manifestation.Wherever such a combination exists, there is a use additional code note at the etiology code, and a code first note at the manifestation code.These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

Tabular List Of Diseases And Injuries

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The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized “head to toe” into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N40.1:

Inclusion Terms

  • code for associated symptoms, when specified:
  • incomplete bladder emptying R39.14
  • weak urinary stream R39.12

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What Is Benign Prostatic Hyperplasia

Benign prostatic hyperplasiaalso called BPHis a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction.

The prostate goes through two main growth periods as a man ages. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth begins around age 25 and continues during most of a mans life. Benign prostatic hyperplasia often occurs with the second growth phase.

As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retentionthe inability to empty the bladder completelycause many of the problems associated with benign prostatic hyperplasia.

What Is The Prostate

The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.

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Association Between Benign Prostatic Hyperplasia And Suicide In South Korea: A Nationwide Retrospective Cohort Study

  • Roles Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Writing original draft

    Affiliation Department of Mental Health Research, National Center for Mental Health, Seoul, Republic of Korea

  • Roles Conceptualization, Validation, Writing review & editing

    Affiliation Department of Urology, Kyung Hee University, Seoul, Republic of Korea

  • Roles Investigation, Validation, Writing review & editing

    Affiliation Department of Mental Health Research, National Center for Mental Health, Seoul, Republic of Korea

  • Roles Conceptualization, Investigation, Validation, Writing review & editing

    Affiliation Department of Psychiatry, Kangwon National University, School of Medicine, Chunchon, Republic of Korea

  • Roles Investigation, Validation, Writing review & editing

    Affiliation College of Nursing, Woosuk University, Wanjoo, Republic of Korea

  • Roles Investigation, Validation, Writing review & editing

    Affiliation Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea

Nodular Prostate With Lower Urinary Tract Symptoms

BPH 2 – prostate and urinary symptoms
    2016201720182019202020212022Billable/Specific CodeAdult Dx Male Dx
  • N40.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2022 edition of ICD-10-CM N40.3 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of N40.3 – other international versions of ICD-10 N40.3 may differ.
  • N40.3 is applicable to adult patients aged 15 – 124 years inclusive.
  • N40.3 is applicable to male patients.

“use additional code”

  • code for associated symptoms, when specified:
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    Benign Prostatic Hyperplasia With Lower Urinary Tract Symptoms

      20162017 – Revised Code20182019202020212022Billable/Specific CodeAdult Dx Male Dx
    • N40.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
    • Short description: Benign prostatic hyperplasia with lower urinary tract symp
    • The 2022 edition of ICD-10-CM N40.1 became effective on October 1, 2021.
    • This is the American ICD-10-CM version of N40.1 – other international versions of ICD-10 N40.1 may differ.
    • N40.1 is applicable to adult patients aged 15 – 124 years inclusive.
    • N40.1 is applicable to male patients.

    “use additional code”

  • code for associated symptoms, when specified:
  • How Do You Code Bph

    4.7/5codein-depth answer

    N40.1

    Furthermore, what is male BPH? Benign prostatic hyperplasia also called prostate gland enlargement is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems.

    Besides, what is benign prostatic hyperplasia with lower urinary tract symptoms?

    About half of men with BPH develop an enlarged prostate gland, called benign prostatic enlargement , and among these, about half develop bladder outlet obstruction . BOO and/or changes in smooth muscle tone and resistance that can accompany BPH often result in lower urinary tract symptoms .

    What are lower urinary tract symptoms?

    Lower urinary tract symptoms include voiding or obstructive symptoms such as hesitancy, poor and/or intermittent stream, straining, prolonged micturition, feeling of incomplete bladder emptying, dribbling, etc, and storage or irritative symptoms such as frequency, urgency, urge incontinence, and nocturia.

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    The Icd Code N40 Is Used To Code Benign Prostatic Hyperplasia

    Benign prostatic hyperplasia , also called benign enlargement of the prostate , adenofibromyomatous hyperplasia and benign prostatic hypertrophy , is a benign increase in size of the prostate. BPH involves hyperplasia of prostatic stromal and epithelial cells, resulting in the formation of large, fairly discrete nodules in the transition zone of the prostate. When sufficiently large, the nodules impinge on the urethra and increase resistance to flow of urine from the bladder. This is commonly referred to as “obstruction,” although the urethral lumen is no less patent, only compressed. Resistance to urine flow requires the bladder to work harder during voiding, possibly leading to progressive hypertrophy, instability, or weakness of the bladder muscle. BPH involves hyperplasia rather than hypertrophy , but the two terms are often used interchangeably, even among urologists. Although prostate specific antigen levels may be elevated in these patients because of increased organ volume and inflammation due to urinary tract infections, BPH does not lead to cancer or increase the risk of cancer.

    Specialty:

    How Is Benign Prostatic Hyperplasia Treated

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    Treatment options for benign prostatic hyperplasia may include

    • lifestyle changes
    • minimally invasive procedures
    • surgery

    A health care provider treats benign prostatic hyperplasia based on the severity of symptoms, how much the symptoms affect a mans daily life, and a mans preferences.

    Men may not need treatment for a mildly enlarged prostate unless their symptoms are bothersome and affecting their quality of life. In these cases, instead of treatment, a urologist may recommend regular checkups. If benign prostatic hyperplasia symptoms become bothersome or present a health risk, a urologist most often recommends treatment.

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    Lifestyle Changes For Bph

    • Limit the amount of fluids you drink in the evening, 1 to 2 hours before bed, to help avoid frequent nighttime urination.
    • Urinate when you need to and schedule regular bathroom breaks double voiding .
    • Limit caffeine and alcohol, which can worsen symptoms.
    • Lose weight if needed, and exercise daily. Obesity is associated with BPH.
    • Avoid drugs that have “anticholinergic” properties, such as decongestants , or first generation antihistamines like diphenhydramine . These drugs may prevent muscle relaxation in the prostate, worsen urinary symptoms, and can make it harder to urinate.
    • Stay warm: Cold temperatures can cause you to retain urine and increase frequent urination.
    • Pelvic floor muscle training

    Benign Prostatic Hyperplasia With Lower Urinary Tract Symptoms N401

    The ICD10 code for the diagnosis “Benign prostatic hyperplasia with lower urinary tract symptoms” is “N40.1”. N40.1 is a VALID/BILLABLE ICD10 code, i.e it is valid for submission for HIPAA-covered transactions.

    • N40.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
    • The 2019 edition of ICD-10-CM N40.1 became effective on October 1, 2018.
    • This is the American ICD-10-CM version of N40.1 – other international versions of ICD-10 N40.1 may differ.

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    What Are The Symptoms Of Benign Prostatic Hyperplasia

    Lower urinary tract symptoms suggestive of benign prostatic hyperplasia may include

    • urinary frequencyurination eight or more times a day
    • urinary urgencythe inability to delay urination
    • trouble starting a urine stream
    • a weak or an interrupted urine stream
    • dribbling at the end of urination
    • nocturiafrequent urination during periods of sleep
    • urinary incontinencethe accidental loss of urine
    • pain after ejaculation or during urination
    • urine that has an unusual color or smell

    Symptoms of benign prostatic hyperplasia most often come from

    • a blocked urethra
    • a bladder that is overworked from trying to pass urine through the blockage

    The size of the prostate does not always determine the severity of the blockage or symptoms. Some men with greatly enlarged prostates have little blockage and few symptoms, while other men who have minimally enlarged prostates have greater blockage and more symptoms. Less than half of all men with benign prostatic hyperplasia have lower urinary tract symptoms.3

    What Is The Icd 10 Code For Bph With Obstruction

    #168 Naturally occurring benign prostatic hyperplasia in aged rodents: histologic evaluation and…

    3.9/5symptomsdiagnosis

    Likewise, what is the ICD 10 CM code for benign prostatic hyperplasia with urinary retention?

    N40. 1 – Benign prostatic hyperplasia with lower urinary tract symptoms. ICD10CM.

    Also Know, what are lower urinary tract symptoms? Lower urinary tract symptoms include voiding or obstructive symptoms such as hesitancy, poor and/or intermittent stream, straining, prolonged micturition, feeling of incomplete bladder emptying, dribbling, etc, and storage or irritative symptoms such as frequency, urgency, urge incontinence, and nocturia.

    Similarly, you may ask, what is benign prostatic hyperplasia with lower urinary tract symptoms?

    About half of men with BPH develop an enlarged prostate gland, called benign prostatic enlargement , and among these, about half develop bladder outlet obstruction . BOO and/or changes in smooth muscle tone and resistance that can accompany BPH often result in lower urinary tract symptoms .

    What is male BPH?

    Benign prostatic hyperplasia also called prostate gland enlargement is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems.

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    Medications To Treat Bph

    Medications are frequently used for the treatment of symptoms of BPH. BPH drug treatment is typically long-term and continued until symptoms are no longer controlled with medications at that time surgery may be needed.

    Drug treatment combinations may also be more effective for some patients than use of a single drug.

    Common medications used for treatment of BPH

    Alpha-blockers: Alpha-blockers are a class of drugs considered to be first-line treatment for BPH. Alpha-blockers work by blocking the alpha-1a receptor in the prostate and the bladder. They relax the muscles of the bladder neck and prostate and allow an easier urine flow. They can work well in men with small prostates and mild to moderate symptoms.

    Alpha-blockers are very effective in the treatment of BPH. Roughly 50% of men see an improvement in symptoms within the first 48 hours to one week after therapy initiation. Patients may only retain symptom relief for up to 4 years, and alpha-blockers do not shrink the prostate or slow down BPH progression. Alpha-blockers are also used to treat high blood pressure.

    Alpha-blockers used in the treatment of BPH include:

    • gynecomastia
    • dizziness or lightheadedness

    These side effects do not occur frequently. In a small percentage of patients, 5-alpha-reductase inhibitors can also lead to a lowered sex drive, impotence, or depression, but these effects are reversible if these medicine is stopped.

    Combination drugs for BPH

    How do you use Cialis for BPH?

    What Are Bph Symptoms

    Men with BPH may experience these symptoms:

    • frequent need to urinate
    • blood in the urine
    • urinary tract infections

    When the prostate enlarges, not all men have significant symptoms. Several different conditions can lead to symptoms comparable to an enlarged prostate, such as inflammation of the prostate , kidney or bladder stones, prostate cancer, or narrowing of the urethra. If you experience any of these symptoms, be sure to consult with your doctor.

    BPH is not a form of prostate cancer but symptoms can be similar. Having BPH does not increase your risk for prostate cancer, but they can occur at the same time.

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    How Common Is Benign Prostatic Hyperplasia

    Benign prostatic hyperplasia is the most common prostate problem for men older than age 50. In 2010, as many as 14 million men in the United States had lower urinary tract symptoms suggestive of benign prostatic hyperplasia.1 Although benign prostatic hyperplasia rarely causes symptoms before age 40, the occurrence and symptoms increase with age. Benign prostatic hyperplasia affects about 50 percent of men between the ages of 51 and 60 and up to 90 percent of men older than 80.2

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