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Carcinoembryonic Antigen (CEA) ICD 10 Codes that Meet Medical NecessityProprietary Information of UnitedHealthcare Community and State.Copyright 2018 United Healthcare Services, Inc.Unit Code: 16110 CPT CODE: 82378CEAICD-10 codes covered if selection criteria are met:C15.3MALIGNANT NEOPLASM OF UPPER THIRD OF ESOPHAGUSC15.4MALIGNANT NEOPLASM OF MIDDLE THIRD OF ESOPHAGUSC15.5MALIGNANT NEOPLASM OF LOWER THIRD OF ESOPHAGUSC15.8MALIGNANT NEOPLASM OF OVERLAPPING SITES OF ESOPHAGUSC15.9MALIGNANT NEOPLASM OF ESOPHAGUS, UNSPECIFIEDC16.0MALIGNANT NEOPLASM OF CARDIAC16.1MALIGNANT NEOPLASM OF FUNDUS OF STOMACHC16.2MALIGNANT NEOPLASM OF BODY OF STOMACHC16.3MALIGNANT NEOPLASM OF PYLORIC ANTRUMC16.4MALIGNANT NEOPLASM OF PYLORUSC16.5MALIGNANT NEOPLASM OF LESSER CURVATURE OF STOMACH, UNSPC16.6MALIGNANT NEOPLASM OF GREATER CURVATURE OF STOMACH, UNSPC16.8MALIGNANT NEOPLASM OF OVERLAPPING SITES OF STOMACHC16.9MALIGNANT NEOPLASM OF STOMACH, UNSPECIFIEDC17.0MALIGNANT NEOPLASM OF DUODENUMC17.2MALIGNANT NEOPLASM OF ILEUMC17.3MECKEL'S DIVERTICULUM, MALIGNANTC17.8MALIGNANT NEOPLASM OF OVERLAPPING SITES OF SMALL INTESTINEC17.9MALIGNANT NEOPLASM OF SMALL INTESTINE, UNSPECIFIEDC18.0MALIGNANT NEOPLASM OF CECUMC18.1MALIGNANT NEOPLASM OF APPENDIXC18.2MALIGNANT NEOPLASM OF ASCENDING COLONC18.3MALIGNANT NEOPLASM OF HEPATIC FLEXUREC18.4MALIGNANT NEOPLASM OF TRANSVERSE COLONC18.5MALIGNANT NEOPLASM OF SPLENIC FLEXUREC18.6MALIGNANT NEOPLASM OF DESCENDING COLONC18.7MALIGNANT NEOPLASM OF SIGMOID COLONC18.8MALIGNANT NEOPLASM OF OVERLAPPING SITES OF COLONC18.9MALIGNANT NEOPLASM OF COLON, UNSPECIFIEDC19MALIGNANT NEOPLASM OF RECTOSIGMOID JUNCTIONC20MALIGNANT NEOPLASM OF RECTUMC21.0MALIGNANT NEOPLASM OF ANUS, UNSPECIFIEDC21.1MALIGNANT NEOPLASM OF ANAL CANALC21.2MALIGNANT NEOPLASM OF CLOACOGENIC ZONEC21.8MALIG NEOPLASM OF OVRLP SITES OF RECTUM, ANUS AND ANAL CANALC25.0MALIGNANT NEOPLASM OF HEAD OF PANCREASC25.1MALIGNANT NEOPLASM OF BODY OF PANCREASC25.2MALIGNANT NEOPLASM OF TAIL OF PANCREASC25.3MALIGNANT NEOPLASM OF PANCREATIC DUCT
50.311C50.312C50.319C50.321MALIGNANT NEOPLASM OF ENDOCRINE PANCREASMALIGNANT NEOPLASM OF OTHER PARTS OF PANCREASMALIGNANT NEOPLASM OF OVERLAPPING SITES OF PANCREASMALIGNANT NEOPLASM OF PANCREAS, UNSPECIFIEDMALIGNANT NEOPLASM OF INTESTINAL TRACT, PART UNSPECIFIEDMALIGNANT NEOPLASM OF TRACHEAMALIGNANT NEOPLASM OF UNSPECIFIED MAIN BRONCHUSMALIGNANT NEOPLASM OF RIGHT MAIN BRONCHUSMALIGNANT NEOPLASM OF LEFT MAIN BRONCHUSMALIGNANT NEOPLASM OF UPPER LOBE, UNSP BRONCHUS OR LUNGMALIGNANT NEOPLASM OF UPPER LOBE, RIGHT BRONCHUS OR LUNGMALIGNANT NEOPLASM OF UPPER LOBE, LEFT BRONCHUS OR LUNGMALIGNANT NEOPLASM OF MIDDLE LOBE, BRONCHUS OR LUNGMALIGNANT NEOPLASM OF LOWER LOBE, UNSP BRONCHUS OR LUNGMALIGNANT NEOPLASM OF LOWER LOBE, RIGHT BRONCHUS OR LUNGMALIGNANT NEOPLASM OF LOWER LOBE, LEFT BRONCHUS OR LUNGMALIGNANT NEOPLASM OF OVRLP SITES OF UNSP BRONCHUS AND LUNGMALIGNANT NEOPLASM OF OVRLP SITES OF RIGHT BRONCHUS AND LUNGMALIGNANT NEOPLASM OF OVRLP SITES OF LEFT BRONCHUS AND LUNGMALIGNANT NEOPLASM OF UNSP PART OF UNSP BRONCHUS OR LUNGMALIGNANT NEOPLASM OF UNSP PART OF RIGHT BRONCHUS OR LUNGMALIGNANT NEOPLASM OF UNSP PART OF LEFT BRONCHUS OR LUNGMALIGNANT NEOPLASM OF NIPPLE AND AREOLA, RIGHT FEMALE BREASTMALIGNANT NEOPLASM OF NIPPLE AND AREOLA, LEFT FEMALE BREASTMALIGNANT NEOPLASM OF NIPPLE AND AREOLA, UNSP FEMALE BREASTMALIGNANT NEOPLASM OF NIPPLE AND AREOLA, RIGHT MALE BREASTMALIGNANT NEOPLASM OF NIPPLE AND AREOLA, LEFT MALE BREASTMALIGNANT NEOPLASM OF NIPPLE AND AREOLA, UNSP MALE BREASTMALIGNANT NEOPLASM OF CENTRAL PORTION OF RIGHT FEMALE BREASTMALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT FEMALE BREASTMALIGNANT NEOPLASM OF CENTRAL PORTION OF UNSP FEMALE BREASTMALIGNANT NEOPLASM OF CENTRAL PORTION OF RIGHT MALE BREASTMALIGNANT NEOPLASM OF CENTRAL PORTION OF LEFT MALE BREASTMALIGNANT NEOPLASM OF CENTRAL PORTION OF UNSP MALE BREASTMALIG NEOPLM OF UPPER-INNER QUADRANT OF RIGHT FEMALE BREASTMALIG NEOPLASM OF UPPER-INNER QUADRANT OF LEFT FEMALE BREASTMALIG NEOPLASM OF UPPER-INNER QUADRANT OF UNSP FEMALE BREASTMALIG NEOPLASM OF UPPER-INNER QUADRANT OF RIGHT MALE BREASTMALIG NEOPLASM OF UPPER-INNER QUADRANT OF LEFT MALE BREASTMALIG NEOPLASM OF UPPER-INNER QUADRANT OF UNSP MALE BREASTMALIG NEOPLM OF LOWER-INNER QUADRANT OF RIGHT FEMALE BREASTMALIG NEOPLASM OF LOWER-INNER QUADRANT OF LEFT FEMALE BREASTMALIG NEOPLASM OF LOWER-INNER QUADRANT OF UNSP FEMALE BREASTMALIG NEOPLASM OF LOWER-INNER QUADRANT OF RIGHT MALE BREAST
3MALIG NEOPLASM OF LOWER-INNER QUADRANT OF LEFT MALE BREASTMALIG NEOPLASM OF LOWER-INNER QUADRANT OF UNSP MALE BREASTMALIG NEOPLM OF UPPER-OUTER QUADRANT OF RIGHT FEMALE BREASTMALIG NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT FEMALE BREASTMALIG NEOPLASM OF UPPER-OUTER QUADRANT OF UNSP FEMALE BREASTMALIG NEOPLASM OF UPPER-OUTER QUADRANT OF RIGHT MALE BREASTMALIG NEOPLASM OF UPPER-OUTER QUADRANT OF LEFT MALE BREASTMALIG NEOPLASM OF UPPER-OUTER QUADRANT OF UNSP MALE BREASTMALIG NEOPLM OF LOWER-OUTER QUADRANT OF RIGHT FEMALE BREASTMALIG NEOPLASM OF LOWER-OUTER QUADRANT OF LEFT FEMALE BREASTMALIG NEOPLASM OF LOWER-OUTER QUADRANT OF UNSP FEMALE BREASTMALIG NEOPLASM OF LOWER-OUTER QUADRANT OF RIGHT MALE BREASTMALIG NEOPLASM OF LOWER-OUTER QUADRANT OF LEFT MALE BREASTMALIG NEOPLASM OF LOWER-OUTER QUADRANT OF UNSP MALE BREASTMALIGNANT NEOPLASM OF AXILLARY TAIL OF RIGHT FEMALE BREASTMALIGNANT NEOPLASM OF AXILLARY TAIL OF LEFT FEMALE BREASTMALIGNANT NEOPLASM OF AXILLARY TAIL OF UNSP FEMALE BREASTMALIGNANT NEOPLASM OF AXILLARY TAIL OF RIGHT MALE BREASTMALIGNANT NEOPLASM OF AXILLARY TAIL OF LEFT MALE BREASTMALIGNANT NEOPLASM OF AXILLARY TAIL OF UNSP MALE BREASTMALIGNANT NEOPLASM OF OVRLP SITES OF RIGHT FEMALE BREASTMALIGNANT NEOPLASM OF OVRLP SITES OF LEFT FEMALE BREASTMALIGNANT NEOPLASM OF OVRLP SITES OF UNSP FEMALE BREASTMALIGNANT NEOPLASM OF OVERLAPPING SITES OF RIGHT MALE BREASTMALIGNANT NEOPLASM OF OVERLAPPING SITES OF LEFT MALE BREASTMALIGNANT NEOPLASM OF OVERLAPPING SITES OF UNSP MALE BREASTMALIGNANT NEOPLASM OF UNSP SITE OF RIGHT FEMALE BREASTMALIGNANT NEOPLASM OF UNSPECIFIED SITE OF LEFT FEMALE BREASTMALIGNANT NEOPLASM OF UNSP SITE OF UNSPECIFIED FEMALE BREASTMALIGNANT NEOPLASM OF UNSPECIFIED SITE OF RIGHT MALE BREASTMALIGNANT NEOPLASM OF UNSPECIFIED SITE OF LEFT MALE BREASTMALIGNANT NEOPLASM OF UNSP SITE OF UNSPECIFIED MALE BREASTMALIGNANT NEOPLASM OF RIGHT OVARYMALIGNANT NEOPLASM OF LEFT OVARYMALIGNANT NEOPLASM OF UNSPECIFIED OVARYMALIGNANT CARCINOID TUMOR OF UNSPECIFIED SITEMALIGNANT CARCINOID TUMOR OF THE DUODENUMMALIGNANT CARCINOID TUMOR OF THE JEJUNUMMALIGNANT CARCINOID TUMOR OF THE ILEUMMALIGNANT CARCINOID TUMOR OF THE SM INT, UNSP PORTIONMALIGNANT CARCINOID TUMOR OF THE APPENDIXMALIGNANT CARCINOID TUMOR OF THE CECUMMALIGNANT CARCINOID TUMOR OF THE ASCENDING COLONMALIGNANT CARCINOID TUMOR OF THE TRANSVERSE COLON
R77.9MALIGNANT CARCINOID TUMOR OF THE DESCENDING COLONMALIGNANT CARCINOID TUMOR OF THE SIGMOID COLONMALIGNANT CARCINOID TUMOR OF THE RECTUMMALIGNANT CARCINOID TUMOR OF THE LG INT, UNSP PORTIONMALIGNANT CARCINOID TUMOR OF THE BRONCHUS AND LUNGMALIGNANT CARCINOID TUMOR OF THE THYMUSMALIGNANT CARCINOID TUMOR OF THE STOMACHMALIGNANT CARCINOID TUMOR OF THE KIDNEYMALIGNANT CARCINOID TUMOR OF THE FOREGUT, UNSPECIFIEDMALIGNANT CARCINOID TUMOR OF THE MIDGUT, UNSPECIFIEDMALIGNANT CARCINOID TUMOR OF THE HINDGUT, UNSPECIFIEDMALIGNANT CARCINOID TUMORS OF OTHER SITESSECONDARY CARCINOID TUMORS, UNSPECIFIED SITESECONDARY CARCINOID TUMORS OF DISTANT LYMPH NODESSECONDARY CARCINOID TUMORS OF LIVERSECONDARY CARCINOID TUMORS OF BONESECONDARY CARCINOID TUMORS OF PERITONEUMSECONDARY CARCINOID TUMORS OF OTHER SITESSECONDARY MERKEL CELL CARCINOMAOTHER SECONDARY NEUROENDOCRINE TUMORSSECONDARY MALIGNANT NEOPLASM OF UNSPECIFIED LUNGSECONDARY MALIGNANT NEOPLASM OF RIGHT LUNGSECONDARY MALIGNANT NEOPLASM OF LEFT LUNGSECONDARY MALIGNANT NEOPLASM OF SMALL INTESTINESECONDARY MALIGNANT NEOPLASM OF LARGE INTESTINE AND RECTUMCARCINOMA IN SITU OF COLONCARCINOMA IN SITU OF RECTOSIGMOID JUNCTIONCARCINOMA IN SITU OF RECTUMCARCINOMA IN SITU OF UNSPECIFIED PART OF INTESTINECARCINOMA IN SITU OF OTHER PARTS OF INTESTINECARCINOMA IN SITU OF OTHER SPECIFIED DIGESTIVE ORGANSCARCINOMA IN SITU OF DIGESTIVE ORGAN, UNSPECIFIEDNEOPLASM OF UNCERTAIN BEHAVIOR OF STOMACHNEOPLASM OF UNCERTAIN BEHAVIOR OF SMALL INTESTINENEOPLASM OF UNCERTAIN BEHAVIOR OF APPENDIXNEOPLASM OF UNCERTAIN BEHAVIOR OF COLONNEOPLASM OF UNCERTAIN BEHAVIOR OF RECTUMNEOPLASM RELATED PAIN (ACUTE) (CHRONIC)ABNORMAL PLASMA VISCOSITYABNORMALITY OF ALBUMINABNORMALITY OF GLOBULINABNORMALITY OF ALPHAFETOPROTEINOTHER SPECIFIED ABNORMALITIES OF PLASMA PROTEINSABNORMALITY OF PLASMA PROTEIN, UNSPECIFIED
048Z85.118Z85.3Z85.43FINDING OF OTH SUBSTANCES, NOT NORMALLY FOUND IN BLOODFINDING OF UNSP SUBSTANCE, NOT NORMALLY FOUND IN BLOODOTHER SPECIFIED ABNORMAL FINDINGS OF BLOOD CHEMISTRYELEVATED CARCINOEMBRYONIC ANTIGEN [CEA]OTHER ABNORMAL TUMOR MARKERSENCNTR FOR FOLLOW-UP EXAM AFTER TRTMT FOR MALIGNANT NEOPLASMENCNTR FOR F/U EXAM AFT TRTMT FOR COND OTH THAN MALIG NEOPLMPERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSP DGSTV ORGPERSONAL HISTORY OF MALIGNANT NEOPLASM OF LARGE INTESTINEPRSNL HX OF MALIG NEOPLM OF RECTUM, RECTOSIG JUNCT, AND ANUSPERSONAL HISTORY OF MALIGNANT NEOPLASM OF BRONCHUS AND LUNGPERSONAL HISTORY OF MALIGNANT NEOPLASM OF BREASTPERSONAL HISTORY OF MALIGNANT NEOPLASM OF OVARYNote: Policy is subject to changeand does not guarantee reimbursement
r78.89 finding of oth substances, not normally found in blood r78.9 finding of unsp substance, not normally found in blood r79.89 other specified abnormal findings of blood chemistry r97.0 elevated carcinoembryonic antigen [cea] r97.8 other abnormal tumor markers z08 encntr for follow-up exam after trtmt for malignant neoplasm z09 encntr for f/u exam aft trtmt for cond oth than malig neoplm
