R97.0
Billable

Elevated carcinoembryonic antigen [CEA]

Billable / Specific Code

What is Elevated carcinoembryonic antigen [CEA]?

ICD-10-CM R97.0 is the diagnosis code for Elevated carcinoembryonic antigen [CEA]. This code falls under the section "Abnormal tumor markers" within Chapter 18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for R97.0

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where R97.0 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is R97.0 a billable ICD-10-CM code?

Yes, R97.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does R97.0 mean?

R97.0 is the ICD-10-CM diagnosis code for "Elevated carcinoembryonic antigen [CEA]". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of R97.0?

The parent code of R97.0 is R97 ("Abnormal tumor markers"). R97.0 provides a more specific classification within this category.

What section is R97.0 in?

R97.0 is located in Section R97 — "Abnormal tumor markers" within Chapter 18 of the ICD-10-CM Tabular List.

When should I use R97.0?

Use R97.0 when the patients documented diagnosis matches "Elevated carcinoembryonic antigen [CEA]" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Elevated carcinoembryonic antigen [CEA]?

The ICD-10-CM code for Elevated carcinoembryonic antigen [CEA] is R97.0.

Can R97.0 be used for primary diagnosis?

Yes, R97.0 can be used as a primary diagnosis code since it is billable and specific.

What chapter is R97.0 in?

R97.0 is in Chapter 18 of the ICD-10-CM Tabular List.

Is R97.0 valid for 2026?

Yes, R97.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousR97Abnormal tumor markersNext →R97.1Elevated cancer antigen 125 [CA 125]
Code Details
R97.0
Elevated carcinoembryonic antigen [CEA]
Billable / Specific Code
18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R97 — Abnormal tumor markers
2026 ICD-10-CM