Automate intake, eligibility, and PA with AI agents that work in your EMR and billing systems.

Contact us to get started

Create a free account to automate medical coding. Just upload a chart and get codes.

Create Free Account
Search all medical codes

Malignant neoplasm of prostate

ICD10CM code

Medical Policies and Guidelines for Malignant neoplasm of prostate

Related policies from health plans

BRCA Genetic Testing
BRCA Genetic Testing
Bavencio (avelumab)
Docetaxel (Docefrez, Taxotere)
Cryosurgical or Radiofrequency Ablation to Treat Solid Tumors Outside the Liver
Cryosurgical or Radiofrequency Ablation to Treat Solid Tumors Outside the Liver
Denosumab agents
GNRH Analogs for Oncologic Indications
Jevtana (cabazitaxel)
Opdivo (nivolumab)
Outpatient Urine Culture
Pemetrexed Agents (Alimta, Pemfexy)
Prostate Multiparametric Magnetic Resonance Imaging
Prostate Specific Antigen Testing
Provenge (sipuleucel-T)
Radioimmunotherapy and Somatostatin Receptor Targeted Radiotherapy
Tecentriq (atezolizumab)
Transrectal Ultrasonography
Low-Level Laser and High-Power Laser Therapy - (CPG030)
Molecular Diagnostic Testing for Hematology and Oncology Indications - (0520)
Nucleic Acid Pathogen Testing - (0530)
Nucleic Acid Pathogen Testing - (0530)
Xofigo (Radium Ra 223 Dichloride)
CG-GENE-16 BRCA Genetic Testing
CG-GENE-16 BRCA Genetic Testing
mitoxantrone (Novantrone) (PG126)
CG-LAB-24 Outpatient Urine Culture
CG-LAB-28 Prostate Specific Antigen Testing
CG-MED-45 Transrectal Ultrasonography
CG-SURG-61 Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the Liver
CG-SURG-61 Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the Liver
CG-SURG-98 Prostate Biopsy using MRI Fusion Techniques
LAB.00026 Systems Pathology and Multimodal Artificial Intelligence Testing for Prostate Cancer
SURG.00076 Nerve Graft after Prostatectomy
SURG.00159 Focal Laser Ablation for the Treatment of Prostate Cancer
Concert Genetic Oncology: Algorithmic Testing (PDF)
Concert Genetic Oncology: Circulating Tumor DNA Tumor Cells Liquid Biopsy (PDF)
Concert Genetic Oncology: Circulating Tumor DNA Tumor Cells Liquid Biopsy (PDF)
Concert Genetic Oncology: Mol Analysis Solid Tmrs Hem Malig (PDF)
Concert Genetic Testing: Hereditary Cancer Susceptibility (PDF)

Similar Codes


ICD10CM codes

C61 - Malignant neoplasm of prostate
Z85.46 - Personal history of malignant neoplasm of prostate
D29.1 - Benign neoplasm of prostate
Z12.5 - Encounter for screening for malignant neoplasm of prostate
C62 - Malignant neoplasm of testis
C60 - Malignant neoplasm of penis
Z80.42 - Family history of malignant neoplasm of prostate
C71 - Malignant neoplasm of brain
Z15.03 - Genetic susceptibility to malignant neoplasm of prostate
C67 - Malignant neoplasm of bladder

HCPCS codes

G0102 - Prostate cancer screening; digital rectal examination
G9842 - Patient has metastatic disease at diagnosis
G0103 - Prostate cancer screening; prostate specific antigen test (psa)
G9097 - Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as
G0416 - Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
D7411 - EXCISION OF BENIGN LESION GREATER THAN 1.25 CM
G8875 - Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
D7430 - Excision of benign tumor-lesion diameter up to 1.25 cm
G8798 - Specimen site other than anatomic location of prostate
G0101 - Cervical or vaginal cancer screening; pelvic and clinical breast examination

CPT4 codes

55810 - Prostatectomy, perineal radical
88239 - Tissue culture for neoplastic disorders; solid tumor
3272F - Intermediate risk of recurrence, prostate cancer (PRCA)
81542 - Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing forma
81541 - Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and
52450 - Transurethral incision of prostate
55705 - Biopsy, prostate; incisional, any approach
3273F - High risk of recurrence, prostate cancer (PRCA)
43611 - Excision, local; malignant tumor of stomach
55842 - Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited