R9720 - Blood test showing higher than normal levels of PSA, a protein made by the prostate gland
International Classification of Diseases
What is a ICD-10 Code?
ICD-10 (International Classification of Diseases, 10th Revision) codes are used to classify and code all diagnoses, symptoms, and procedures recorded in association with hospital care. These codes provide a standardized way to track health conditions and their treatment outcomes.
Detailed Description
This code indicates that a blood test called PSA (Prostate Specific Antigen) showed levels higher than the normal range. PSA is a protein produced by cells in the prostate gland, and small amounts normally circulate in the blood. Elevated PSA levels can have several causes, including prostate cancer, benign prostate enlargement (BPH), prostate infection, recent medical procedures involving the prostate, or even vigorous physical activity. An elevated PSA doesn't automatically mean cancer - it's a screening tool that helps doctors determine if further testing is needed. Your doctor will consider your PSA level along with other factors like your age, family history, and physical exam results to decide on next steps.
Additional Information
This is a diagnostic code for a test result, not a disease. The significance of elevated PSA varies by age and individual circumstances. Many men with elevated PSA do not have cancer, and further evaluation is needed to determine the cause.
Category
Laboratory/Diagnostic Finding
Medical Specialty
Urology/Primary Care
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- PSA blood test
- Usually applies to men over 50 or those with prostate cancer risk factors
What to Expect After
- Repeat PSA testing
- Digital rectal exam
- Possible referral to urologist
- Consider prostate biopsy if indicated
- Imaging studies if recommended
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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