ICD-10 Diagnosis Code R97.20

Elevated prostate specific antigen [PSA]

Diagnosis Code R97.20

ICD-10: R97.20
Short Description: Elevated prostate specific antigen [PSA]
Long Description: Elevated prostate specific antigen [PSA]
This is the 2017 version of the ICD-10-CM diagnosis code R97.20

New 2017 ICD-10 Code
R97.20 is new to ICD-10 code set for the FY 2017, effective October 1, 2016.

Code Classification
  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    • Abnormal tumor markers (R97)
      • Abnormal tumor markers (R97)

Information for Medical Professionals

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Code Edits
The following edits are applicable to this code:
Adult diagnoses Additional informationCallout TooltipAdult diagnoses
Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Diagnoses for males only Additional informationCallout TooltipDiagnoses for males only
Diagnoses for males only.

Questionable admission codes Additional informationCallout TooltipQuestionable admission codes
Some diagnoses are not usually sufficient justification for admission to an acute care hospital. For example, if a patient is given code R030 for elevated blood pressure reading, without diagnosis of hypertension, then the patient would have a questionable admission, since elevated blood pressure reading is not normally sufficient justification for admission to a hospital.

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Replacement Code Additional informationCallout TooltipReplacement Code
The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2016. This is a new and revised code for the FY 2017 (October 1, 2016-September 30, 2017).

This code replaces the following previously assigned ICD-10 code(s) listed below:
  • R97.2 - Elevated prostate specific antigen [PSA]

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