Elevated PSA ICD-10-CM Codes

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 Patricia Buenaventura on Jul 16, 2025.

Fact Checked by Karina Jimenea.

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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.

The most commonly used ICD-10-CM code for elevated PSA is R97.20: Elevated prostate-specific antigen [PSA].

This is a general code for increased PSA levels, irrespective of the cause. Furthermore, it's only applicable to male adult patients aged 15-124.

(Note: While there are other ICD-10-CM codes related to prostate disorders, R97.20 is the primary code specifically for elevated PSA levels. However, it may not be used as a code for admission to a hospital as a principal diagnosis. 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?

Yes, the ICD 10 code R97.20: Elevated prostate-specific antigen [PSA] is billable.

Clinical information

  • PSA is a protein produced by normal and malignant prostate gland cells.
  • Elevated PSA levels can indicate abnormal tumor markers, malignant neoplasm (prostate cancer), prostatitis, or an enlarged prostate. Rising PSA following treatment for cancer may also be possible and indicate that the cancer cells are still present.
  • 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
  • Rising PSA
  • Raised PSA levels
  • Abnormal PSA reading
  • Increased prostate antigen levels
  • Prostate-specific antigen elevation

Related ICDs

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