AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES

Abnormal Prostate Specific Antigen (PSA) Levels

Code R97.2, Elevated prostate specific antigen [PSA], has been expanded to create separate codes to distinguish elevated PSA from a rise in PSA following treatment. Codes R97.20, Elevated prostate specific antigen [PSA]), and R97.21, Rising PSA following treatment for malignant neoplasm of prostate, are included in category R97, Abnormal tumor markers. The first step in treatment for a patient with an elevated PSA level is to attempt to suppress that level with hormone therapy or a similar therapy, such as removal of the testicles. When the PSA drops due to hormone therapy, the tumor is considered...

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