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Home/Diagnosis/ICD-10 Coding for Prostate Cancer Screening

ICD-10 Coding for Prostate Cancer Screening

Z12.5
C61
Z85.46

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

Also Known as:
Prostate Screening
PSA Screening
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Key Information: ICD-10 Coding for Prostate Cancer Screening

Essential facts and insights about ICD-10 Coding for Prostate Cancer Screening

Use ICD-10 code Z12.5 for encounter for screening for malignant neoplasm of prostate, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for screening for malignant neoplasm of prostate

Billable Code
Z12.5
Billable

Diagnostic Criteria

clinical:
  • • Patient is asymptomatic and over 50 years old.
documentation:
  • • Documentation must state 'encounter for screening'.

Applicable To

  • • Routine prostate cancer screening

Important Notes

  • • Ensure documentation specifies screening intent and absence of symptoms.

Malignant neoplasm of prostate

Billable Code
C61
Billable

Applicable To

  • • Confirmed prostate cancer

Important Notes

  • • Ensure biopsy results are documented.

Personal history of malignant neoplasm of prostate

Billable Code
Z85.46
Billable

Applicable To

  • • History of prostate cancer

Important Notes

  • • Document treatment history and current disease-free status.
Ancillary Codes

Additional codes that may be used with this diagnosis

G0103

Prostate specific antigen (PSA) test

Use alongside Z12.5 for screening purposes.

G0102

Digital rectal exam (DRE)

Use alongside Z12.5 for screening purposes.

Frequently Asked Questions

What is the ICD-10 code for prostate cancer screening?

The ICD-10 code for prostate cancer screening is Z12.5, used for asymptomatic patients undergoing routine screening.

When should Z12.5 be used?

Use Z12.5 for asymptomatic patients undergoing routine prostate cancer screening, ensuring documentation specifies screening intent.

How is prostate cancer screening documented?

Document prostate cancer screening by noting the patient's asymptomatic status, screening intent, and results of PSA and DRE tests.

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