2025 ICD-10-CM code D29.1
(Active) Effective Date: N/A Benign neoplasms - Benign neoplasm of prostate Chapter 2: Neoplasms (C00-D49) Feed
Non-cancerous growth in the prostate gland.
Medical necessity is established by the presence of signs, symptoms, or abnormal findings suggestive of a prostatic neoplasm.Biopsy is necessary to differentiate between benign and malignant neoplasms.Treatment is medically necessary if the neoplasm causes significant symptoms, such as urinary obstruction or pain.
Clinicians diagnose this condition through patient history, physical examination, and diagnostic tests like PSA blood tests, cystoscopy, proctoscopy, and ultrasound.A needle biopsy may be performed to confirm the diagnosis and rule out precancerous changes.Treatment options include transurethral resection of the prostate (TURP) or embolization of the tumor.
In simple words: A non-cancerous lump in the prostate, a small gland found in men.
Benign neoplasm of the prostate.A non-cancerous tumor originating from various tissues within the prostate gland, such as glandular, connective, or muscle tissue.
Example 1: A 60-year-old male presents with difficulty urinating.Digital rectal exam reveals an enlarged, nodular prostate.PSA levels are slightly elevated.Ultrasound and biopsy confirm a benign prostatic neoplasm., A 55-year-old male undergoes a routine physical.PSA levels are normal, but a small nodule is palpable on the prostate during the digital rectal exam.Biopsy confirms a benign neoplasm., A 70-year-old male experiences urinary retention.Imaging reveals a large benign neoplasm obstructing the urethra.TURP is performed to relieve the obstruction.
Documentation should include details of the patient's symptoms, physical exam findings (including digital rectal exam), PSA levels, imaging results (ultrasound, etc.), and biopsy results confirming the benign nature of the neoplasm.Treatment procedures, if any, should also be documented.
** It's important to differentiate between benign prostatic hyperplasia (BPH) (N40.-) and benign prostatic neoplasm (D29.1).D29.1 is specific to neoplasms, while N40 encompasses non-neoplastic enlargement of the prostate.If the diagnosis is uncertain, further investigation with biopsy may be necessary.
- Specialties:Urology, Family Medicine, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center