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Oncology & Hematology Coding Alert

ICD-10-CM R97.2 Takes the Place of 790.93 for Elevated PSA

Published on Thu Sep 06, 2012

Plus: Check out the latest update on the new code set's implementation date.
 
Mark Oct. 1, 2014, on your calendars. That's the new official compliance date for ICD-10-CM and ICD-10-PCS, according to a CMS final rule published in the Federal Register. Keep your preparations going full speed ahead with these tips for proper coding of prostate specific antigen (PSA) test results.
 
ICD-9-CM: Current ICD-9-CM reporting options for a PSA test include V76.44 (Special screening for malignant neoplasms; prostate) and 790.93 (Elevated prostate specific antigen [PSA]).
 
ICD-10-CM difference: When ICD-10-CM replaces ICD-9-CM, you'll still have one screening diagnosis code and one elevated PSA diagnosis code.
 
When the physician orders a screening PSA test for a patient with no signs or symptoms of disease, screening code V76.44 is the appropriate code under ICD-9-CM. With ICD-10-CM, you'll report Z12.5 (Special screening [...]
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