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Home/Diagnosis/ICD-10 Coding for High PSA

ICD-10 Coding for High PSA

R97.20
R97.21

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

Also Known as:
Elevated PSA
Increased Prostate-Specific Antigen
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Key Information: ICD-10 Coding for High PSA

Essential facts and insights about ICD-10 Coding for High PSA

Use ICD-10 code R97.20 for elevated prostate specific antigen [psa], ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Elevated prostate specific antigen [PSA]

Billable Code
R97.20
Billable

Diagnostic Criteria

clinical:
  • PSA level above normal range without cancer history
documentation:
  • Document specific PSA value and clinical context

Applicable To

  • • Initial elevated PSA without known cancer

Important Notes

  • • Ensure PSA levels and clinical context are documented.

Rising PSA following treatment for malignant neoplasm of prostate

Billable Code
R97.21
Billable

Applicable To

  • • Rising PSA post-prostate cancer treatment

Important Notes

  • • Ensure documentation of cancer history and treatment details.
Ancillary Codes

Additional codes that may be used with this diagnosis

N40.0

Benign prostatic hyperplasia without lower urinary tract symptoms

Use when BPH is present alongside elevated PSA.

N41.9

Prostatitis, unspecified

Use when prostatitis is suspected with elevated PSA.

Frequently Asked Questions

What is the ICD-10 code for elevated PSA?

The ICD-10 code for elevated PSA is R97.20, used for initial elevated PSA findings without a history of prostate cancer.

When should R97.21 be used?

Use R97.21 for patients with a history of prostate cancer and rising PSA levels post-treatment.

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