CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

N42.0 Quick jump to specific ICD-10 (CM) Code: N42.30


See Category: Diseases of the genitourinary system

ICD-10 (CM) Code and Descriptor

N42.1 Congestion and hemorrhage of prostate
  • Age 14 and up.
  • Diagnosis Valid for Male Patient Only
  • N421 utilizaton on OPPS claims.*

    Primary
    ICD10 Code
    ICD10
    Position 2
    ICD10
    Position 3
    ICD10
    Position 4
    ICD10
    Position 5
    ICD10
    Position 6
    ICD10
    Position 7
    ICD10
    Position 8
    ICD10
    Position 9
    ICD10
    Position 10
    32.75% 24.03% 16.67% 9.69% 5.62% 3.10% 1.74% 1.74% 1.16% 0.97%

    * Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

    Commonly Associated Procedure Codes for N42.1*:

    CPT
    Description Number of Claims Sum Performed
    85025
    COMPLETE CBC W/AUTO DIFF WBC 89 89
    J3010
    FENTANYL CITRATE INJECTION 86 111
    J2704
    INJ, PROPOFOL, 10 MG 79 2,087
    36415
    COLL VENOUS BLD VENIPUNCTURE 79 79
    80048
    METABOLIC PANEL TOTAL CA 76 76
    J2405
    ONDANSETRON HCL INJECTION 72 327
    A9270
    NON-COVERED ITEM OR SERVICE 63 154
    J0690
    CEFAZOLIN SODIUM INJECTION 55 210
    52214
    CYSTOSCOPY AND TREATMENT 50 50
    85027
    COMPLETE CBC AUTOMATED 39 40
    J1100
    DEXAMETHASONE SODIUM PHOS 38 236
    J0696
    CEFTRIAXONE SODIUM INJECTION 37 162
    J2250
    INJ MIDAZOLAM HYDROCHLORIDE 36 69
    81001
    URINALYSIS AUTO W/SCOPE 36 36
    J7120
    RINGERS LACTATE INFUSION 35 46
    93005
    ELECTROCARDIOGRAM TRACING 35 37
    85610
    PROTHROMBIN TIME 35 36
    80053
    COMPREHEN METABOLIC PANEL 34 34
    87086
    URINE CULTURE/COLONY COUNT 31 32
    G0378
    HOSPITAL OBSERVATION PER HR 30 821

    * Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



    N42.1 related to the following DRG Codes:

    729-730






    CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.