Diagnosis Code Z12.5
Information for Medical Professionals
The following edits are applicable to this code:
Diagnoses for males only - Diagnoses for males only.
Convert to ICD-9
- V76.44 - Scrn malig neop-prostate
Present on Admission (POA)
The code Z12.5 is exempt from POA reporting.
- Suspected prostate cancer
Information for Patients
Prostate Cancer Screening
The prostate is the gland below a man's bladder that produces fluid for semen. Cancer screening is looking for cancer before you have any symptoms. Cancer found early may be easier to treat.
There is no standard screening test for prostate cancer. Researchers are studying different tests to find those with the fewest risks and most benefits. One test is the digital rectal exam (DRE). The doctor or nurse inserts a lubricated, gloved finger into your rectum to feel the prostate for lumps or anything unusual. Another test is the prostate-specific antigen (PSA) blood test. Your PSA level may be high if you have prostate cancer. It can also be high if you have an enlarged prostate (BPH) or other prostate problems. If your screening results are abnormal, your doctor may do more tests, such as an ultrasound, MRI, or a biopsy.
Prostate cancer screening has risks:
- Finding prostate cancer may not improve your health or help you live longer
- The results can sometimes be wrong
- Follow-up tests, such as a biopsy, may have complications
You and your doctor should discuss your risk for prostate cancer, the pros and cons of the screening tests, and whether you should get them.
- Digital rectal exam (Medical Encyclopedia)
- Prostate biopsy (Medical Encyclopedia)
- Prostate cancer screenings (Medical Encyclopedia)
- PSA (Medical Encyclopedia)
General Equivalence Map Definitions
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.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.