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Home/Diagnosis/ICD-10 Coding for Cancer Antigen 19-9

ICD-10 Coding for Cancer Antigen 19-9

C25.9
R97.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for cancer antigen 19-9 includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CA 19-9
Carbohydrate Antigen 19-9
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Key Information: ICD-10 Coding for Cancer Antigen 19-9

Essential facts and insights about ICD-10 Coding for Cancer Antigen 19-9

Use ICD-10 code C25.9 for malignant neoplasm of pancreas, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of pancreas, unspecified

Billable Code
C25.9
Billable

Diagnostic Criteria

  • • Confirmed pancreatic cancer with elevated CA 19-9

Applicable To

  • • Pancreatic cancer

Important Notes

  • • Ensure documentation includes imaging and biopsy results.

Elevated tumor marker

Non-Billable
R97.2
Non-Billable

Diagnostic Criteria

  • • CA 19-9 level >37 U/mL without confirmed malignancy

Applicable To

  • • Elevated CA 19-9

Important Notes

  • • Document clinical rationale for testing.
Ancillary Codes

Additional codes that may be used with this diagnosis

R97.2

Elevated tumor marker

Use alongside C25.9 to indicate elevated CA 19-9 levels.

Frequently Asked Questions

What is the ICD-10 code for cancer antigen 19-9?

The ICD-10 code for elevated cancer antigen 19-9 is R97.2, used when CA 19-9 levels are elevated without a confirmed malignancy.

How is CA 19-9 used in pancreatic cancer?

CA 19-9 is used to monitor treatment response in pancreatic cancer, coded as C25.9 when confirmed.

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