Pathology/Lab Coding Alert

NCD Lists Covered Diagnosis Codes

You can use diagnosis codes for any of the following clinical situations to report a diagnostic PSA (84153, Prostate specific antigen; total), as seen in the National Coverage Determinations ICD9 Codes Covered list:
 
  185 Malignant neoplasm of prostate
  188.5 Malignant neoplasm of bladder neck
  196.5 Secondary and unspecified malignant neoplasm of lymph nodes; lymph nodes of inguinal region and lower limb
  196.6 ... intrapelvic lymph nodes
  196.8 ... lymph nodes of multiple sites
  198.5 Secondary malignant neoplasm; bone and bone marrow
  198.82 ... genital organs
  233.4 Carcinoma in situ, prostate
  236.5 Neoplasm of uncertain behavior of prostate 
  239.5 Neoplasms of unspecified nature, other genitourinary organs
  596.0 Bladder neck obstruction
  599.6 Urinary obstruction, unspecified
  599.7 Hematuria
  601.9 Prostatitis, unspecified
  602.9 Unspecified disorder of prostate
  788.20 Retention of urine, unspecified
  788.21 Incomplete bladder emptying
  788.30 Urinary incontinence, unspecified
  788.41 Urinary frequency
  788.43 Nocturia
  788.62 Slowing of urinary stream
  790.93 Elevated prostate specific antigen (PSA)
  793.6-793.7 Nonspecific abnormal findings on radiological and other examination of body structure
  794.9 Nonspecific abnormal results of function studies, other
  V10.46 Personal history of malignant neoplasm; prostate.