R97
Non-Billable

Abnormal tumor markers

Non-Billable / Non-Specific Code

What is Abnormal tumor markers?

ICD-10-CM R97 is the diagnosis code for Abnormal tumor markers. 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 non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for R97

✅ This Code Includes

  • Elevated tumor associated antigens [TAA]
  • Elevated tumor specific antigens [TSA]

ICD-10-CM Code Hierarchy

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

Sub-Codes 4 entries
R97.0Elevated carcinoembryonic antigen [CEA]BillableR97.1Elevated cancer antigen 125 [CA 125]BillableR97.2Elevated prostate specific antigen [PSA]Non-BillableR97.20Elevated prostate specific antigen [PSA]BillableR97.21Rising PSA following treatment for malignant neoplasm of prostateBillableR97.8Other abnormal tumor markersBillable
Related Codes

Frequently Asked Questions

Is R97 a billable ICD-10-CM code?

No, R97 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does R97 mean?

R97 is the ICD-10-CM diagnosis code for "Abnormal tumor markers". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is R97 in?

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

What are the sub-codes of R97?

R97 has 4 sub-code(s) that provide more specific detail: R97.0, R97.1, R97.2, R97.8.

When should I use R97?

Use R97 when the patients documented diagnosis matches "Abnormal tumor markers" 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 Abnormal tumor markers?

The ICD-10-CM code for Abnormal tumor markers is R97.

Can R97 be used for primary diagnosis?

No, R97 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is R97 in?

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

Is R97 valid for 2026?

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

See Also

← PreviousR94.8Abnormal results of function studies of other organs and systemsNext →R97.0Elevated carcinoembryonic antigen [CEA]
Code Details
R97
Abnormal tumor markers
Non-Billable / Non-Specific Code
18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R97 — Abnormal tumor markers
2026 ICD-10-CM