Nodular prostate without lower urinary tract symptoms

This code signifies an enlarged prostate gland characterized by the presence of nodules, but without any associated urinary symptoms such as frequency, urgency, or weak stream. It indicates a benign prostatic hypertrophy (BPH) that is currently asymptomatic from a lower urinary tract perspective.

Apply this code when documentation clearly states nodular prostatic enlargement without any mention of LUTS. This is appropriate for incidental findings during imaging or physical examination when the patient denies urinary complaints. It can also be used for surveillance of known BPH that remains asymptomatic.

• Ensure the documentation explicitly states the absence of lower urinary tract symptoms.
• Do not use this code if any LUTS are present; instead, select a code that includes symptoms.
• This code is often an incidental finding and may be sequenced as a secondary diagnosis if a primary reason for the encounter exists.