ICD-10 N40.0
Billable / SpecificBenign prostatic hyperplasia without lower urinary tract symptoms
About ICD-10-CM N40.0
ICD-10-CM code N40.0 represents Benign prostatic hyperplasia without lower urinary tract symptoms. This is a billable/specific code in the Genitourinary System chapter (block N40). The 2026 edition of ICD-10-CM N40.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N40.0. Per CMS ICD-10-CM Tabular 2026.
- Enlarged prostate without LUTS
- Enlarged prostate NOS
Medicare LCD Coverage for N40.0
Local Coverage Determinations (LCDs) from CMS MACs that list N40.0 as a covered diagnosis.
Showing top 10 of 78 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N40.0.
2 Aetna
3 Medicare
CPT Codes Commonly Billed with N40.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 55700 Prostate biopsy — elevated PSA, BPH, prostate cancer Urology
- 52000 Cystoscopy diagnostic — bladder neck obstruction, cystitis, hematuria, hydronephrosis, bladder cancer, BPH, urinary retention, urethral stricture, poor stream, bladder calculus Urology
- 52601 TURP — BPH with LUTS, BPH, urinary retention, poor stream, hydronephrosis, bladder neck obstruction, hematuria Urology
Convert N40.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N40.0 | 60000 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N40.0
Other codes in section N40-N53 (Diseases of male genital organs).
ICD-10 N40.0, Billing FAQ
Is ICD-10 code N40.0 billable? +
Yes, N40.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N40.0? +
ICD-10 N40.0 includes: Enlarged prostate without LUTS; Enlarged prostate NOS.
What CPT codes are commonly billed with N40.0? +
Procedures frequently paired with N40.0 include: 55700, 52000, 52601.
What ICD-9 codes does N40.0 map to? +
Per CMS GEMs, N40.0 maps to ICD-9 codes: 60000. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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