C61 Malignant neoplasm of prostate
R97.21 Rising PSA following treatment for malignant neoplasm of prostate
For the indication of high risk prostate cancer, despite negative biopsies, the ICD-10-CM diagnosis code R97.20 must also be billed with an additional ICD-10-CM diagnosis code.
R97.20 Elevated prostate specific antigen [PSA]
ADDITIONAL CODES TO SUPPORT MEDICAL NECESSITY
N40.2 Nodular prostate without lower urinary tract symptoms
N40.3 Nodular prostate with lower urinary tract symptoms
R89.7 Abnormal histological findings in specimens from other organs, systems and tissues