Benign Prostatic Hyperplasia [B028] (N40)
Current RMA Instruments:
| Reasonable Hypothesis SOP [1] | 17 of 2016 |
| Balance of Probabilities SOP [2] | 18 of 2016 |
Changes from previous Instruments:
SOP Bulletin 188 [3]
ICD Coding:
- ICD-9-CM: 600
- ICD-10-AM: N40
Brief description
Benign prostatic hyperplasia (BPH) is an enlargement of the prostate gland, which is located at the base of the bladder (in men only). It results in symptoms relating to obstruction to urinary flow. It is a very common condition in older men.
Confirming the diagnosis
Symptoms are non-specific and other causes for the symptoms need to be ruled out. BPH can be diagnosed on the basis of clinical findings and some laboratory tests. Imaging and histology are generally not required.
The relevant medical specialist is a urologist.
Additional diagnoses covered by SOP
- Benign prostatic hypertrophy
Conditions not covered by SOP
Prostatitis#
#non-SOP condition
Clinical onset
Symptoms typically appear slowly and progress gradually over a period of years, but are not specific to BPH. Once the diagnosis has been confirmed and other causes for the symptoms excluded, it may be possible to backdate onset to when symptoms first became sufficiently troublesome for medical attention to be sought.
Clincal worsening
The normal course of the condition is for gradual progression of symptoms. Symptoms can be improved by both medical and surgical treatments. Establishing clinical worsening beyond the normal course of the condition will be difficult and will require speciailist opinion.
Rulebase for benign prostatic hyperplasia
- Log in [4] to post comments
Place holder node for Rulebase for benign prostatic hyperplasia
Inability to undertake any physical activity greater than 3 METs
Benign prostatic hyperplasia - Inability to undertake any physical activity greater than 3 METs Factor
Last reviewed for CCPS 28 May 2008.
Investigative Documents
Claimant Report - Inability to Undertake Physical Activity [CR9147] [5] Medical Report - Inability to Undertake Physical Activity [MR9045] Preliminary questions [39665] 39666 — the veteran has established the causal connection between the inability to undertake any physical activity greater than 3 METs and operational service for benign prostatic hyperplasia. 39667 — the veteran has established the causal connection between the inability to undertake any physical activity greater than 3 METs and operational service for the clinical onset of benign prostatic hyperplasia. or 39668 — the veteran has established the causal connection between the inability to undertake any physical activity greater than 3 METs and operational service for the clinical worsening of benign prostatic hyperplasia. Clinical onset and operational service [39667] 33538 — the identified illness or injury which prevented the veteran from undertaking any physical activity greater than 3 METs is causally related to operational service. [11] Clinical worsening and operational service [39668] 33538 — the identified illness or injury which prevented the veteran from undertaking any physical activity greater than 3 METs is causally related to operational service. [13]
No appropriate clinical management for benign prostatic hypertrophy
Benign prostatic hyperplasia - No appropriate clinical management for benign prostatic hypertrophy Factor
Last reviewed for CCPS 28 May 2008.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [9912] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [17] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [18] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [23] [24] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [23] [24]
Links
[1] http://www.rma.gov.au/assets/SOP/2016/017.pdf
[2] http://www.rma.gov.au/assets/SOP/2016/018.pdf
[3] http://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20188.pdf
[4] http://clik.dva.gov.au/user/login?destination=comment/reply/63312%23comment-form
[5] http://clik.dva.gov.au/ccpsclaimant-133
[6] http://clik.dva.gov.au/39665-inability-undertake-any-physical-activity-greater-3-mets-0
[7] clikpopup://CCPS/reject33535No
[8] clikpopup://CCPS/reject33536No
[9] clikpopup://CCPS/Reject/OnsetAfterService
[10] clikpopup://CCPS/Reject/NoPermanentWorsening
[11] clikpopup://CCPS/reject33499No
[12] clikpopup://CCPS/Identified ill/inj contributed to inability to undertake physical activity greater than 3 METs for five years before worsening of BPH
[13] clikpopup://CCPS/reject33500No
[14] clikpopup://CCPS/Onset of BPH before op service to which the identified ill/inj that prevented undertaking physical activity greater than 3 METs is causally related
[15] clikpopup://CCPS/reject33539No
[16] http://clik.dva.gov.au/ccpsother-31
[17] http://clik.dva.gov.au/node/71523
[18] clikpopup://CCPS/Benign prostatic hyperplasia/ACM - contributed to worsening
[19] clikpopup://CCPS/ACM/NoContribution
[20] clikpopup://CCPS/ACM/NotOpService
[21] clikpopup://CCPS/ACM/NotOperDuties
[22] clikpopup://CCPS/rejectwilful
[23] clikpopup://CCPS/ACM/NoIllness
[24] clikpopup://CCPS/reject7390,7391No
[25] clikpopup://CCPS/Benign prostatic hyperplasia/ACM - onset prior to operational service
[26] clikpopup://CCPS/ACM/OnsetFailOper
[27] clikpopup://CCPS/ACM/NotEligService
[28] clikpopup://CCPS/ACM/NotEligDuties
[29] clikpopup://CCPS/Benign prostatic hyperplasia/ACM - onset prior to eligible service
[30] clikpopup://CCPS/ACM/OnsetFailElig