ICD-10 codes for Prostate Cancer

The primary ICD-10-CM codes for prostate cancer are C61, Z85.46, D07.5. Across all sub-categories, 14 codes are grouped under prostate cancer, with 11 marked as billable (specific enough for a medical claim).

There are 14 ICD-10-CM codes related to prostate cancer. Of these, 11 are billable specific codes and 3 are non-billable header categories that organize the specific codes underneath them. Header codes cannot be reported on a claim by themselves.

Yes. 11 of the 14 ICD-10-CM codes for prostate cancer are billable. Common examples include C61 (Malignant neoplasm of prostate); D07.0 (Carcinoma in situ of endometrium); D07.1 (Carcinoma in situ of vulva). Code to the highest level of specificity supported by the documentation.

The most commonly used billable codes for prostate cancer include: C61 (Malignant neoplasm of prostate); D07.0 (Carcinoma in situ of endometrium); D07.1 (Carcinoma in situ of vulva). The correct code depends on the documented clinical presentation, including any complications, episode (acute / chronic), and laterality where applicable. Always code to the highest level of specificity supported by the clinical documentation.

Yes, C61 (Malignant neoplasm of prostate) is a billable / specific ICD-10-CM code that can be reported on insurance claims.

The ICD-10 codes for prostate cancer map to at least 25 SNOMED CT concepts. Examples of SNOMED CT concept IDs in this group include 1098981000119101, 1148901006, 1259388006, 1259666003, 1259669005. SNOMED CT is a clinical terminology used in electronic health records; AutoICD's coding API returns SNOMED CT IDs alongside each ICD-10 code via the include_snomed=true flag.

The ICD-10 codes for prostate cancer are linked to 18 UMLS CUIs in the National Library of Medicine's Metathesaurus. Sample CUIs include C0376358, C0494180, C0346191, C0278729, C0349560. UMLS CUIs unify the same concept across SNOMED CT, ICD-10, ICD-11, RxNorm, MeSH, and dozens of other source vocabularies.

Prostate Cancer may also be referred to as: prostate cancer, malignant prostate neoplasm, adenocarcinoma of prostate. The same ICD-10-CM codes apply regardless of which term appears in the clinical documentation. Synonyms are surfaced by AutoICD's NER pass and mapped to the canonical ICD-10 family above.