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Home/Diagnosis/ICD-10 Coding for Prostate Screening

ICD-10 Coding for Prostate Screening

Z12.5
R97.20

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

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

Essential facts and insights about ICD-10 Coding for Prostate 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_criteria:
  • • Patient is asymptomatic and presents for routine screening.

Applicable To

  • • Routine prostate cancer screening

Important Notes

  • • Ensure no symptoms are present and document the absence of symptoms.

Elevated prostate specific antigen [PSA]

Billable Code
R97.20
Billable

Applicable To

  • • Elevated PSA without confirmed malignancy

Important Notes

  • • Document specific PSA levels and clinical rationale for follow-up.
Ancillary Codes

Additional codes that may be used with this diagnosis

G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Use with Z12.5 for Medicare-covered PSA screening.

Frequently Asked Questions

What is the ICD-10 code for prostate screening?

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

How do you code a PSA test for prostate screening?

For prostate screening, use Z12.5 with G0103 for Medicare-covered PSA tests, ensuring no symptoms are present.

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