Elevated PSA ICD-10-CM Codes
Discover the ICD-10-CM codes related to elevated PSA levels, vital for precise medical documentation, insurance billing, & targeted diagnostic procedures.
By Katherine Ellison on Feb 29, 2024.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Elevated PSA?
Prostate-specific antigen (PSA) is a protein produced by the prostate gland. Elevated levels can be a sign of prostate cancer but can also indicate other prostate-related conditions. Correct coding of elevated PSA is essential for patient care, further testing, and insurance reimbursement. The ICD-10-CM system provides specific codes for elevated PSA.
Commonly Used ICD-10-CM Codes for Elevated PSA:
R97.20 - Elevated prostate-specific antigen [PSA]
Clinical Description: This is a general code for increased PSA levels, irrespective of the cause.
(Note: While there are other ICD-10-CM codes related to prostate disorders, R97.20 is the primary code specifically for elevated PSA levels. Depending on the clinical context and findings, additional codes may be used to further specify the patient's condition.)
Which Elevated PSA ICD codes are Billable?
R97.20 - Yes, this ICD Code is billable.
Clinical Information
- PSA is a protein produced by normal and malignant prostate gland cells.
- Elevated PSA levels can indicate prostate cancer, prostatitis, or an enlarged prostate.
- Other factors like age, race, and specific procedures can influence PSA levels.
- Regular PSA testing is often recommended for men over 50 or those with a family history of prostate cancer.
- If an elevated PSA level is detected, further diagnostic procedures like a prostate biopsy may be necessary to determine the cause.
- It's crucial to interpret PSA results in the context of the patient's overall health and other clinical findings.
Synonyms Include:
- High PSA
- Raised PSA levels
- Abnormal PSA reading
- Increased prostate antigen levels
- Prostate-specific antigen elevation
Commonly asked questions
An Elevated PSA ICD code should be employed when documenting a patient's medical record where the PSA levels are higher than the standard reference range, indicating a potential prostate-related concern.
Expected next steps after diagnosing elevated PSA may include further testing, such as digital rectal examination (DRE), repeat PSA tests, or a prostate biopsy to ascertain the cause of the elevation.
A diagnosis code for Elevated PSA suggests that a patient's PSA levels are above the typical range, which can indicate prostate cancer or other prostate-related conditions.
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