N42
N42 — Other and unspecified disorders of prostate
Non-billable headerICD-10-CM
N42 is a non-billable header ICD-10-CM code for other and unspecified disorders of prostate. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with N42
These codes carry an Excludes1 note pointing at N42. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N42 alone.
- D07.5Carcinoma in situ of prostate
Risk adjustment
N42 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead N42
5 child codes. Green means billable.
Questions about N42
- Is N42 a billable ICD-10-CM code?
- No. N42 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does N42 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).