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See Category: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
See Header: Elevated prostate specific antigen [PSA]
ICD-10 (CM) Code and Descriptor
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R97.20 |
Elevated prostate specific antigen [PSA]
Age 14 and up.
Diagnosis Valid for Male Patient Only
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R9720 utilizaton on OPPS claims.*
Primary
ICD10 Code |
ICD10
Position 2 |
ICD10
Position 3 |
ICD10
Position 4 |
ICD10
Position 5 |
ICD10
Position 6 |
ICD10
Position 7 |
ICD10
Position 8 |
ICD10
Position 9 |
ICD10
Position 10 |
| 46.48%
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18.63%
|
11.78%
|
7.69%
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5.02%
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3.37%
|
2.22%
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1.49%
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1.03%
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0.68%
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* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.
Commonly Associated Procedure Codes for R97.20*:
| CPT |
Description |
Number of Claims |
Sum Performed |
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84153
|
ASSAY OF PSA TOTAL |
185,131
|
185,184
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
157,408
|
157,661
|
|
G0463
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HOSPITAL OUTPT CLINIC VISIT |
61,241
|
61,346
|
|
84154
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ASSAY OF PSA FREE |
49,066
|
49,075
|
|
72197
|
MRI PELVIS W/O & W/DYE |
30,163
|
30,163
|
|
80053
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COMPREHEN METABOLIC PANEL |
23,663
|
23,664
|
|
80061
|
LIPID PANEL |
20,252
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20,253
|
|
88305
|
TISSUE EXAM BY PATHOLOGIST |
18,746
|
94,441
|
|
85025
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COMPLETE CBC W/AUTO DIFF WBC |
17,821
|
17,822
|
|
55700
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BIOPSY OF PROSTATE |
15,873
|
15,874
|
|
81003
|
URINALYSIS AUTO W/O SCOPE |
14,759
|
14,817
|
|
G0416
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PROSTATE BIOPSY, ANY MTHD |
12,217
|
14,290
|
|
G0103
|
PSA SCREENING |
12,172
|
12,174
|
|
80048
|
METABOLIC PANEL TOTAL CA |
12,023
|
12,026
|
|
81001
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URINALYSIS AUTO W/SCOPE |
11,702
|
11,768
|
|
83036
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HEMOGLOBIN GLYCOSYLATED A1C |
11,699
|
11,699
|
|
82565
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ASSAY OF CREATININE |
10,902
|
10,906
|
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A9585
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GADOBUTROL INJECTION |
10,183
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852,070
|
|
84443
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ASSAY THYROID STIM HORMONE |
9,383
|
9,385
|
|
51798
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US URINE CAPACITY MEASURE |
9,313
|
9,317
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* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
R97.20 related to the following DRG Codes:
947-948
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