2025 ICD-10-CM code N41.0
Acute prostatitis.
Medical necessity for the diagnosis and treatment of acute prostatitis is established by the presence of signs and symptoms consistent with the condition, such as fever, chills, perineal pain, dysuria, urinary frequency, and tenderness of the prostate on digital rectal examination.Laboratory findings indicating infection, such as pyuria or bacteriuria, may further support the diagnosis and justify the need for treatment.
Diagnosis and treatment of acute prostatitis typically falls under the purview of urologists.They are responsible for evaluating the patient's symptoms, conducting physical exams (including a digital rectal exam), ordering and interpreting laboratory tests (such as urinalysis and cultures), and determining the appropriate course of treatment, which may involve antibiotics, pain relievers, and lifestyle modifications.
In simple words: This code refers to a sudden inflammation of the prostate gland, a male reproductive organ.
Acute prostatitis is a sudden inflammation of the prostate gland.
Example 1: A 35-year-old male presents with fever, chills, perineal pain, and difficulty urinating. A digital rectal examination reveals a tender and swollen prostate. Urinalysis shows signs of infection. The diagnosis is acute prostatitis., A 60-year-old male with a history of recurrent urinary tract infections experiences sudden onset of lower back pain, painful urination, and urinary frequency. A diagnosis of acute prostatitis is made based on clinical findings and laboratory results., A 45-year-old male develops fever, chills, and pelvic pain after undergoing a transrectal prostate biopsy.He is diagnosed with acute prostatitis, likely as a complication of the biopsy procedure.
Documentation should include details of the present illness, including the onset and nature of symptoms, physical examination findings (specifically related to the prostate), results of laboratory tests (such as urinalysis, urine culture, and potentially blood tests), and the physician's assessment and plan of care.If an infectious agent is identified, it should be documented using an additional code (B95-B97).
** This code applies to patients aged 15-124 years and is specific to male patients.
- Payment Status: Active
- Specialties:Urology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Federally Qualified Health Center