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Disorder of prostate, unspecified

ICD10CM code

Name of the Condition

  • Disorder of prostate, unspecified
  • Medical term: Prostatalgia or non-specific prostate disorder

Summary

  • This condition refers to a variety of non-specific disorders affecting the prostate gland. The prostate is crucial in male reproductive and urinary systems and can develop several issues due to age, lifestyle, or unknown factors.

Causes

  • The exact causes of unspecified prostate disorders are not well-defined but may include hormonal changes, inflammation, infections, or undiagnosed prostate issues.

Risk Factors

  • Age, particularly men over 50
  • Family history of prostate issues
  • Lifestyle factors, including poor diet and lack of exercise
  • High levels of testosterone
  • Previous urinary infections

Symptoms

  • Difficulty urinating
  • Frequent urge to urinate, particularly at night
  • Painful urination or ejaculation
  • Discomfort in the pelvic area

Diagnosis

  • Digital rectal exam (DRE)
  • Prostate-specific antigen (PSA) testing
  • Urinalysis
  • Ultrasound or MRI of the prostate

Treatment Options

  • Medications like alpha-blockers or anti-inflammatory drugs to relieve symptoms
  • Antibiotics if an infection is present
  • Minimally invasive procedures for severe cases to remove prostate tissue or alleviate obstruction

Prognosis and Follow-Up

  • Most disorders of the prostate can be well-managed with appropriate treatment.
  • Regular follow-ups with a healthcare provider are recommended to monitor symptoms and adjust treatments as necessary.

Complications

  • Untreated prostate disorders can lead to chronic pain, urinary retention, or kidney damage.

Lifestyle & Prevention

  • Maintain a healthy diet low in saturated fats and high in fruits and vegetables
  • Regular physical activity
  • Stay hydrated and limit caffeine and alcohol consumption
  • Regular medical check-ups, especially for men over 50

When to Seek Professional Help

  • Experiencing severe pain or inability to urinate
  • Blood in urine or semen
  • Any new or worsening symptoms affecting daily life

Additional Resources

Tips for Medical Coders

  • Ensure the documentation clearly states the unspecified nature of the prostate disorder.
  • Avoid assuming a more specific diagnosis if not supported by the documentation.
  • Use N42.9 only if no other specific prostate condition codes apply.

Medical Policies and Guidelines for Disorder of prostate, unspecified

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