R97.8
R97.8: Other abnormal tumor markers
Billable / specific codeICD-10-CM
R97.8 is a billable, specific ICD-10-CM code for other abnormal tumor markers. It is valid for submission on a claim.
Check R97.8 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R97.8 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Abnormal, abnormality, abnormalities›tumor marker NEC
- Elevated, elevation›tumor associated antigens [TAA] NEC
- Elevated, elevation›tumor specific antigens [TSA] NEC
Code history
Unchanged in every release from FY2024 to FY2027.