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Elevated prostate specific antigen [PSA]

ICD10CM code

Medical Policies and Guidelines for Elevated prostate specific antigen [PSA]

Related policies from health plans

Prostate Specific Antigen Testing
Provenge (sipuleucel-T)
Transrectal Ultrasonography
CG-LAB-28 Prostate Specific Antigen Testing
CG-MED-45 Transrectal Ultrasonography

Similar Codes


ICD10CM codes

R97.20 - Elevated prostate specific antigen [PSA]
R97.2 - Elevated prostate specific antigen [PSA]
R97.21 - Rising PSA following treatment for malignant neoplasm of prostate
R97.0 - Elevated carcinoembryonic antigen [CEA]
R97.1 - Elevated cancer antigen 125 [CA 125]
R79.82 - Elevated C-reactive protein (CRP)
N42.82 - Prostatosis syndrome
C61 - Malignant neoplasm of prostate
R97 - Abnormal tumor markers
D07.5 - Carcinoma in situ of prostate

HCPCS codes

G0103 - Prostate cancer screening; prostate specific antigen test (psa)
G0102 - Prostate cancer screening; digital rectal examination
G8798 - Specimen site other than anatomic location of prostate
D0190 - Screening of a patient
G0101 - Cervical or vaginal cancer screening; pelvic and clinical breast examination
G9512 - Individual had a pdc of 0.8 or greater
C9747 - Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guida
G9842 - Patient has metastatic disease at diagnosis
G8875 - Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
D0191 - Assessment of a patient

CPT4 codes

84153 - Prostate specific antigen (PSA); total
84152 - Prostate specific antigen (PSA); complexed (direct measurement)
84154 - Prostate specific antigen (PSA); free
81539 - Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Inta
0010M - Oncology (High-Grade Prostate Cancer), biochemical assay of four proteins (Total PSA, Free PSA, Inta
3273F - High risk of recurrence, prostate cancer (PRCA)
3272F - Intermediate risk of recurrence, prostate cancer (PRCA)
0005U - Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), u
0047U - Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and
86140 - C-reactive protein