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Search all medical codes
C61
Malignant neoplasm of prostate
ICD10CM code
Medical Policies and Guidelines for Malignant neoplasm of prostate
Related policies from health plans
ANTHEM-BLUECROSS-CA
BRCA Genetic Testing
ANTHEM-BLUECROSS-CA
BRCA Genetic Testing
ANTHEM-BLUECROSS-CA
Bavencio (avelumab)
ANTHEM-BLUECROSS-CA
Docetaxel (Docefrez, Taxotere)
ANTHEM-BLUECROSS-CA
Cryosurgical or Radiofrequency Ablation to Treat Solid Tumors Outside the Liver
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Cryosurgical or Radiofrequency Ablation to Treat Solid Tumors Outside the Liver
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Denosumab agents
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GNRH Analogs for Oncologic Indications
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Jevtana (cabazitaxel)
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Opdivo (nivolumab)
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Outpatient Urine Culture
ANTHEM-BLUECROSS-CA
Pemetrexed Agents (Alimta, Pemfexy)
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Prostate Multiparametric Magnetic Resonance Imaging
ANTHEM-BLUECROSS-CA
Prostate Specific Antigen Testing
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Provenge (sipuleucel-T)
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Radioimmunotherapy and Somatostatin Receptor Targeted Radiotherapy
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Tecentriq (atezolizumab)
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Transrectal Ultrasonography
CIGNA
Low-Level Laser and High-Power Laser Therapy - (CPG030)
CIGNA
Molecular Diagnostic Testing for Hematology and Oncology Indications - (0520)
CIGNA
Nucleic Acid Pathogen Testing - (0530)
CIGNA
Nucleic Acid Pathogen Testing - (0530)
ANTHEM-BLUECROSS-CA
Xofigo (Radium Ra 223 Dichloride)
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CG-GENE-16 BRCA Genetic Testing
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CG-GENE-16 BRCA Genetic Testing
OSCAR
mitoxantrone (Novantrone) (PG126)
ANTHEM-BLUECROSS-CT
CG-LAB-24 Outpatient Urine Culture
ANTHEM-BLUECROSS-CT
CG-LAB-28 Prostate Specific Antigen Testing
ANTHEM-BLUECROSS-CT
CG-MED-45 Transrectal Ultrasonography
ANTHEM-BLUECROSS-CT
CG-SURG-61 Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the Liver
ANTHEM-BLUECROSS-CT
CG-SURG-61 Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the Liver
ANTHEM-BLUECROSS-CT
CG-SURG-98 Prostate Biopsy using MRI Fusion Techniques
ANTHEM-BLUECROSS-CT
LAB.00026 Systems Pathology and Multimodal Artificial Intelligence Testing for Prostate Cancer
ANTHEM-BLUECROSS-CT
SURG.00076 Nerve Graft after Prostatectomy
ANTHEM-BLUECROSS-CT
SURG.00159 Focal Laser Ablation for the Treatment of Prostate Cancer
SUNFLOWER
Concert Genetic Oncology: Algorithmic Testing (PDF)
SUNFLOWER
Concert Genetic Oncology: Circulating Tumor DNA Tumor Cells Liquid Biopsy (PDF)
SUNFLOWER
Concert Genetic Oncology: Circulating Tumor DNA Tumor Cells Liquid Biopsy (PDF)
SUNFLOWER
Concert Genetic Oncology: Mol Analysis Solid Tmrs Hem Malig (PDF)
SUNFLOWER
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
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