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).

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Symptom code vs. confirmed diagnosis

C61 is a confirmed-diagnosis code for a documented prostate malignancy, not a screening or PSA-abnormality code. An elevated or rising PSA is reported separately (e.g., R97.21 after treatment) and does not by itself establish C61.

Which Code Should You Use?

C61 ✓ Billable — Malignant neoplasm of prostate

Malignant neoplasm of the prostate.

C63.7 ✓ Billable — Malignant neoplasm of other specified male genital organs

Malignant neoplasm of the seminal vesicle - a different male-genital site, excluded from C61 (Excludes1).

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

Excludes1
Not coded here. These conditions should NOT be coded together with C61.
  • malignant neoplasm of seminal vesicle (C63.7)
Use Additional Code
  • code, if applicable, to identify:
  • hormone sensitivity status (Z19.1-Z19.2)
  • rising PSA following treatment for malignant neoplasm of prostate (R97.21)

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

References

Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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