Personal history of malignant neoplasm of prostate

ICD10CM code

#### Name of the Condition
- **Personal History of Malignant Neoplasm of Prostate**
- ICD Code: Z85.46

#### Summary
This condition refers to individuals who have previously been diagnosed with prostate cancer but are now considered to be in remission. It indicates a history of cancer rather than an active disease.

#### Causes
- The original cause of prostate cancer generally involves a combination of genetic factors and environmental influences. Research suggests that age, family history, and ethnicity may also play roles.

#### Risk Factors
- Older age, as the risk increases significantly after age 50.
- Having a family history of prostate cancer, especially involving a brother or father.
- Being of African-American descent.

#### Symptoms
- Since this condition represents a historical fact, there are no current symptoms of active cancer. However, individuals should monitor for potential signs of recurrence such as difficulty urinating, blood in urine, or pelvic discomfort.

#### Diagnosis
- This condition is noted based on a patient's medical history.
- The original diagnosis of prostate cancer would typically involve PSA tests, biopsies, and imaging studies such as MRI or CT scans.

#### Treatment Options
- As a historical condition, primary treatment would have occurred when the cancer was active, which might have included surgery, radiation therapy, hormone therapy, or chemotherapy.
- Current care focuses on monitoring and maintenance rather than treatment.

#### Prognosis and Follow-Up
- The prognosis largely depends on the type, stage, and aggressiveness of the prostate cancer previously experienced.
- Regular follow-up is crucial, usually involving PSA testing to monitor for recurrence.

#### Complications
- Potential complications from the original cancer or its treatment may include urinary incontinence, erectile dysfunction, and risk of cancer recurrence.

#### Lifestyle & Prevention
- Maintaining a healthy lifestyle with a balanced diet and regular exercise may help prevent recurrence.
- Regular medical check-ups are crucial for surveillance.

#### When to Seek Professional Help
- A person should seek medical attention if experiencing new or unusual symptoms such as persistent pain, urinary issues, or any signs suggestive of recurrence.

#### Additional Resources
- Prostate Cancer Foundation: [www.pcf.org](https://www.pcf.org)
- American Cancer Society: [www.cancer.org](https://www.cancer.org)

#### Tips for Medical Coders
- Ensure correct coding by verifying that the cancer is in remission and documented as a historical condition.
- Avoid coding for active cancer if the documentation specifies a history of the condition.