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ICD-10-CM Code for Elevated cancer antigen 125 [CA 125] R97.1

ICD-10 code R97.1 for Elevated cancer antigen 125 [CA 125] is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

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Official Long Descriptor

Elevated cancer antigen 125 [CA 125]

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Get crucial instructions for accurate ICD-10-CM R97.1 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
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prostate recurrence after prostatectomy
This patient has biochemical recurrence, s/p prostatectomy and path report says he has poorly differentiated adenocarcinoma of soft tissue. I should add this is an outpatient encounter. How would this... [ Read More ]
prostate recurrence after prostatectomy
[QUOTE="KMayercsik, post: 501761, member: 78450"] I know I read this information but can't remember. We have a patient that had prostatectomy, and now rising PSA after radiation. Does this get coded a... [ Read More ]
prostate recurrence after prostatectomy
I know I read this information but can't remember. We have a patient that had prostatectomy, and now rising PSA after radiation. Does this get coded as an active prostate [URL='https://www.aapc.com/... [ Read More ]
Provider orders regarding labs
Hi I wanted to ask are the following 'internal' policy questions or 'required by CMS type policy'. I am embarrassed of myself for asking these: 1) IF a provider puts in an e-order, but I don't see a... [ Read More ]
Physician orders for laboratory tests
Hi, this is an old thread, but I have similar questions. I wanted to ask are the following 'internal' policy questions or 'required by CMS type policy'. I am embarrassed of myself for asking these: ... [ Read More ]
G0416 Aetna Medicare
Is anyone else having Aetna Medicare deny G0416 denied because "the procedure code cannot be billed separately and it should be billed with an additional code?" Claims are submitted with G0416 and on... [ Read More ]
reason for exam vs findings in report
I would only code n42.9 based on the coding guidelines :) a. Use of symptom codes Codes that describe symptoms and signs are acceptable for reporting purposes when a related definitive diagnosis has... [ Read More ]
Prostate Biopsy
I work for a Urology office. We perform several Prostate Biopsies. I bill it as: 55700 76872 - 26 76942 - 26/59 DX: R97.20 I bill this way because my doctor states per AUA these are billable toget... [ Read More ]
reason for exam vs findings in report
I have a question regarding the reason for exam (dx from order) and the findings after the scan has been completed. In the example below the reason for exam is elevated PSA (R97.20) and in the findin... [ Read More ]
Biochemical failure
You should check the notes to see if the pt's PSA has risen; if it's after treatment, us R97.21 [I]Rising PSA following treatment for malignant neoplasm of prostate.[I][/I][/I] I don't know of any co... [ Read More ]
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