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Home/Diagnosis/ICD-10 Coding for Screening PSA

ICD-10 Coding for Screening PSA

Z12.5
R97.20

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

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

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

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 presents for routine screening.
documentation:
  • • Documentation includes 'routine screening' and 'no symptoms'.

Applicable To

  • • Routine prostate cancer screening

Important Notes

  • • Ensure documentation states 'asymptomatic' and 'routine screening'.

Elevated prostate specific antigen [PSA]

Billable Code
R97.20
Billable

Diagnostic Criteria

clinical:
  • • PSA level above normal range
  • • No symptoms documented

Applicable To

  • • Elevated PSA without symptoms

Important Notes

  • • Ensure PSA level is documented as elevated.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.42

Family history of malignant neoplasm of prostate

Use when there is a documented family history of prostate cancer.

Frequently Asked Questions

What is the ICD-10 code for screening PSA?

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

When should Z12.5 be used?

Z12.5 should be used for asymptomatic patients undergoing routine prostate cancer screening. Ensure documentation states 'asymptomatic' and 'routine screening'.

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