2025 ICD-10-CM code N41.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of male genital organs - Inflammatory diseases of prostate XIV Diseases of the genitourinary system Feed
Abscess of the prostate gland.
Medical necessity for treatment of a prostatic abscess is supported by the presence of symptoms (pain, fever, urinary retention), confirmed by diagnostic imaging.Treatment is aimed at resolving the infection and preventing complications such as sepsis.
Urologist or other qualified healthcare professional.
In simple words: This code indicates an infection in the prostate gland (a small gland in men located below the bladder) that has formed a pocket of pus.This is usually caused by bacteria and may cause pain, fever, difficulty urinating, or discomfort in the rectum. Treatment typically includes antibiotics and may require draining the pus.
N41.2, Abscess of prostate, signifies a localized collection of pus within the prostate gland, resulting from an infection.The infection can be caused by various bacteria, and the abscess may present with symptoms such as pain, fever, difficulty urinating, and rectal discomfort. Diagnosis typically involves physical examination, imaging studies (e.g., ultrasound, CT scan), and possibly culture of the pus to identify the causative organism.Treatment may involve antibiotics, drainage of the abscess (possibly percutaneously or surgically), or a combination of both.
Example 1: A 55-year-old male presents with severe perineal pain, fever, and urinary retention.A transrectal ultrasound reveals a prostatic abscess.The patient is admitted for intravenous antibiotics and percutaneous drainage of the abscess., A 60-year-old male with a history of benign prostatic hyperplasia (BPH) develops acute prostatitis that progresses to an abscess requiring surgical intervention.The abscess is drained via transurethral resection of the prostate (TURP), and cultures are taken., A 72-year-old male with a compromised immune system (due to recent chemotherapy) presents with fever and localized perineal discomfort. Diagnostic imaging reveals a prostatic abscess. The patient undergoes transperineal drainage with placement of a drainage catheter and initiation of broad-spectrum antibiotics.
Complete history and physical examination, including detailed documentation of symptoms (pain, fever, urinary symptoms, rectal discomfort).Imaging studies (e.g., transrectal ultrasound, CT scan) demonstrating the abscess.Laboratory results, including complete blood count (CBC), urinalysis, and blood cultures.Microbiological results of pus cultures identifying the infectious agent if obtained.Treatment details and patient response to treatment.
** This code should be used when a prostatic abscess is definitively diagnosed.If only prostatitis is diagnosed, the appropriate code from N41.0-N41.1 should be used.
- Payment Status: Active
- Specialties:Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office