R97.20
R97.20: Elevated prostate specific antigen [PSA]
Billable / specific codeICD-10-CM
R97.20 is a billable, specific ICD-10-CM code for elevated prostate specific antigen [psa]. It is valid for submission on a claim.
Check R97.20 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R97.20 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56287Billing and Coding: 4Kscore Test Algorithm
- A56653Billing and Coding: 4Kscore Test Algorithm
- A57152Billing and Coding: MolDX: SelectMDx for Prostate Cancer
- A57427Billing and Coding: Transrectal Ultrasound
Alphabetic index entries that lead here
- Elevated, elevation›prostate specific antigen [PSA]
Code history
Unchanged in every release from FY2024 to FY2027.