ICD-10 Code for prostate cancer
The ICD-10-CM code for prostate cancer is C61 when documented without further specification. HCC RxHCC Malignant neoplasm of the prostate is C61, a single complete code (the prostate has no laterality). Per its Excludes1, malignant neoplasm of the seminal vesicle is C63.7, not C61. A use-additional-code instruction covers hormone sensitivity status (Z19.1-Z19.2) and rising PSA after treatment (R97.21).
C61 is a risk-adjusting diagnosis under CMS-HCC and RxHCC models. Create a free account to see model versions, RAF contribution, and AI-powered HCC suppression analysis.
Which Code Should You Use?
What to Document
- That the malignancy is of the prostate itself, not the seminal vesicle (C63.7, per the Excludes1).
- Hormone sensitivity status when documented - a use-additional-code instruction covers Z19.1 (hormone sensitive) and Z19.2 (hormone resistant).
- Rising PSA following treatment when applicable - reported additionally with R97.21 per the use-additional note.
- The histology/morphology as documented by pathology.
Common Documentation Pitfalls
- Per the Excludes1, seminal-vesicle malignancy is C63.7, not C61.
- Per the use-additional-code note, report hormone sensitivity status (Z19.1-Z19.2) and rising post-treatment PSA (R97.21) in addition when documented.
Instructional Notes for C61
Also Known As
Official ICD-10-CM Alphabetic Index terms that point to C61:
- Adenocarcinoma › duct › unspecified site › male
- Carcinoma (malignant) › endometrioid › unspecified site › male
- Cystadenocarcinoma › endometrioid › unspecified site › male
Coding Notes
C61 is the single code for a prostate malignancy. Its Excludes1 sends seminal-vesicle cancer to C63.7. A use-additional-code instruction directs reporting hormone sensitivity status (Z19.1-Z19.2) and rising PSA following prostate-cancer treatment (R97.21) when documented.
Prevalence & Statistics
- In 2023, an estimated 3,700,086 men in the United States were living with prostate cancer. (NCI SEER Cancer Stat Facts: Prostate Cancer, 2023)