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Home/Diagnosis/ICD-10 Coding for Elevated Carcinoembryonic Antigen

ICD-10 Coding for Elevated Carcinoembryonic Antigen

R97.0

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

Also Known as:
Elevated CEA
Abnormal CEA levels
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Key Information: ICD-10 Coding for Elevated Carcinoembryonic Antigen

Essential facts and insights about ICD-10 Coding for Elevated Carcinoembryonic Antigen

Use ICD-10 code R97.0 for elevated carcinoembryonic antigen [cea], ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Elevated carcinoembryonic antigen [CEA]

Billable Code
R97.0
Billable

Diagnostic Criteria

clinical_criteria:
  • • CEA level above 5 ng/mL for non-smokers or 10 ng/mL for smokers
documentation_criteria:
  • • Documented clinical correlation with a known or suspected malignancy

Applicable To

  • • Abnormal CEA levels

Important Notes

  • • Ensure CEA levels and clinical context are documented to support coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z08

Follow-up examination after treatment for malignant neoplasm

Use with R97.0 for post-treatment surveillance.

Frequently Asked Questions

What is the ICD-10 code for elevated carcinoembryonic antigen?

The ICD-10 code for elevated carcinoembryonic antigen is R97.0, used for documenting abnormal CEA levels in clinical settings.

How is elevated CEA documented?

Document elevated CEA by including specific CEA values, reference ranges, and clinical context, such as history of malignancy.

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