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Home/Diagnosis/ICD-10 Coding for Prostate-Specific Antigen (PSA) Testing

ICD-10 Coding for Prostate-Specific Antigen (PSA) Testing

R97.20
Z12.5
Z85.46

Complete ICD-10-CM coding and documentation guide for icd-10 coding for prostate-specific antigen (psa) testing includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
PSA Screening
Elevated PSA
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Key Information: ICD-10 Coding for Prostate-Specific Antigen (PSA) Testing

Essential facts and insights about ICD-10 Coding for Prostate-Specific Antigen (PSA) Testing

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

  • • PSA level is elevated without symptoms of prostate cancer.

Applicable To

  • • Elevated PSA without a confirmed diagnosis

Important Notes

  • • Ensure PSA levels are documented in the patient's chart.

Encounter for screening for malignant neoplasm of prostate

Billable Code
Z12.5
Billable

Applicable To

  • • PSA screening in asymptomatic patients

Important Notes

  • • Ensure documentation states 'screening' and absence of symptoms.

Personal history of malignant neoplasm of prostate

Billable Code
Z85.46
Billable

Applicable To

  • • History of prostate cancer

Important Notes

  • • Ensure the patient's cancer history is well-documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z85.46

Personal history of malignant neoplasm of prostate

Use when monitoring PSA in patients with a history of prostate cancer.

Z80.42

Family history of malignant neoplasm of prostate

Use when there is a family history of prostate cancer.

Frequently Asked Questions

What is the ICD-10 code for elevated PSA?

The ICD-10 code for elevated PSA is R97.20, used when PSA levels are above normal without a confirmed cancer diagnosis.

How do you code PSA screening?

For PSA screening, use ICD-10 code Z12.5, which is applicable for routine prostate cancer screening in asymptomatic patients.

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