Is R97.2 a billable ICD-10-CM code?

No. R97.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R97.2 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal tumor markers (R97).

R97.2

R97.2 — Elevated prostate specific antigen [PSA]

Non-billable headerICD-10-CM

R97.2 is a non-billable header ICD-10-CM code for elevated prostate specific antigen [psa]. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

R97.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R97.2

2 child codes. Green means billable.

Related codes at this level

Codes that share R97. If R97.2 is not quite right, the correct code is usually one of these.

Questions about R97.2

Is R97.2 a billable ICD-10-CM code?: No. R97.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R97.2 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal tumor markers (R97).