What is the ICD-10 code for malignant tumor of prostate?

The ICD-10 code for a malignant tumor of the prostate is C61, which is used for active prostate cancer cases.

When should Z85.46 be used?

Z85.46 is used for patients with a history of prostate cancer, no current treatment, and no evidence of disease.

ICD-10 Coding for Malignant Tumor of Prostate(C61, C79.51, D07.5)

Save

Explore comprehensive ICD-10 coding guidelines for malignant tumor of the prostate, including primary and ancillary codes, documentation requirements, and common pitfalls.

Also known as:

Prostate CancerAdenocarcinoma of Prostate

Related ICD-10 Code Ranges

Complete code families applicable to Malignant Tumor of Prostate

C00-D49Primary Range

Neoplasms

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
C61	Malignant neoplasm of prostate	Use when there is active prostate cancer, confirmed by clinical tests.	PSA >4 ng/mL Biopsy confirmed adenocarcinoma MRI with PIRADS ≥4
C79.51	Secondary malignant neoplasm of bone	Use when prostate cancer has metastasized to the bone.	Bone scan showing metastasis MRI confirming bone lesions
Z85.46	Personal history of malignant neoplasm of prostate	Use when the patient has a history of prostate cancer with no current treatment or evidence of disease.	No current treatment No evidence of disease

Primary ICD-10-CM Codes

Malignant neoplasm of prostate

C61Billable

Secondary malignant neoplasm of bone

C79.51Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Carcinoma in situ of prostateD07.5

Documentation & Coding Risks

Avoid these common issues when documenting Malignant Tumor of Prostate.

Omitting metastasis documentation.

Impact

Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement.

Mitigation

Review imaging reports for metastasis., Include metastasis status in notes.

Coding historical cancer as active.

Impact

Reimbursement: Incorrect reimbursement for active treatment., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.

Mitigation

Verify current treatment status and PSA levels.

Active vs. Historical Coding

Impact

Risk of coding historical cancer as active.

Mitigation

Regularly review treatment status and PSA levels.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with C61.

Primary Code

C61

Malignant neoplasm of prostate

Quick Navigation

ICD-10 codes5

Coding risks3

FAQs2

ICD-10 Coding for Malignant Tumor of Prostate(C61, C79.51, D07.5)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for malignant tumor of prostate?

When should Z85.46 be used?

Related condition guides