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R97.20
Elevated prostate specific antigen [PSA]
ICD10CM code
Medical Policies and Guidelines for Elevated prostate specific antigen [PSA]
Related policies from health plans
ANTHEM-BLUECROSS-CA
Prostate Specific Antigen Testing
ANTHEM-BLUECROSS-CA
Provenge (sipuleucel-T)
ANTHEM-BLUECROSS-CA
Transrectal Ultrasonography
ANTHEM-BLUECROSS-CT
CG-LAB-28 Prostate Specific Antigen Testing
ANTHEM-BLUECROSS-CT
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