AHA Coding Clinic® for ICD-9 - 1992 Third Quarter

Q & A

A patient admitted because of urinary retention underwent a transurethral resection of the prostate during the course of hospitalization and was discharged with a final diagnosis of benign prostatic hyperplasia. When the pathology report was added to the medical record following discharge, the hyperplasia was confirmed as well as microscopic foci of adenocarcinoma of prostate. Is the principal diagnosis hyperplasia of prostate, code 600, or adenocarcinoma of the prostate, code 185? Note: As of October 1 2000, category 600 has been expanded to the fourth digit level to further specify the type of prostatic disorder ...

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