ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N42.83

Billable / Specific

Cyst of prostate

N42
Block
0
Synonyms
88
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM N42.83

ICD-10-CM code N42.83 represents Cyst of prostate. This is a billable/specific code in the Genitourinary System chapter (block N42). The 2026 edition of ICD-10-CM N42.83 became effective on October 1, 2025.

Medicare LCD Coverage for N42.83

Local Coverage Determinations (LCDs) from CMS MACs that list N42.83 as a covered diagnosis.

88 LCDs

Showing top 10 of 88 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76872 →
CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76873 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81316 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81357 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81348 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81170 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81275 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81262 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81334 →
CMS LCD: Billing and Coding: Biomarkers for Oncology
Article ID: 52986, Effective: 2025-04-24 00:00:00, 427 covered, 1 non-covered
CPT 81206 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N42.83.

4 policies

4 Medicare

Billing and Coding: Biomarkers for Oncology
Policy ID: ART-52986
Billing and Coding: Urodynamics
Policy ID: ART-56802
Billing and Coding: Transrectal Ultrasound
Policy ID: ART-57427
Billing and Coding: Urodynamics
Policy ID: ART-57455

CPT Codes Commonly Billed with N42.83

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N42.83

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N42.83 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N42.83 6003 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N42.83, Billing FAQ

Is ICD-10 code N42.83 billable? +

Yes, N42.83 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does N42.83 map to? +

Per CMS GEMs, N42.83 maps to ICD-9 codes: 6003. 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 May 31, 2026.

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