N42.1 Congestion and hemorrhage of prostate

Billable ICD-10-CM code, FY2026.

Excludes1 (never code together)

• enlarged prostate (N40.-)
• hematuria (R31.-)
• hyperplasia of prostate (N40.-)
• inflammatory diseases of prostate (N41.-)

MS-DRG index

Defines the logic of DRG(s) 729-730 in MDC 12.

Approximate ICD-9-CM (GEMs)

• 602.1 Congestion or hemorrhage of prostate

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.

Diagnosis Index entries for N42.1

• Congestion, congestive › prostate (active)
• Hemorrhage, hemorrhagic (concealed) › prostate

Nearby codes

• N42 Other and unspecified disorders of prostate
• N42.0 Calculus of prostate
• N42.1 Congestion and hemorrhage of prostate (this code)
• N42.3 Dysplasia of prostate
• N42.30 Unspecified dysplasia of prostate
• N42.31 Prostatic intraepithelial neoplasia
• N42.32 Atypical small acinar proliferation of prostate
• N42.39 Other dysplasia of prostate