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BETA v.3.0

2025 ICD-10-CM code R97.0

Elevated carcinoembryonic antigen (CEA).

Always cross-reference with other clinical data and findings. An isolated elevated CEA is not always indicative of cancer.

Medical necessity for a CEA test is typically established when there is clinical suspicion of colorectal cancer or other cancers, or in the follow-up of patients with known malignancies.

The physician's responsibility includes ordering the CEA test, interpreting the results, and ordering further investigations if necessary to establish a diagnosis and treatment plan.This may involve consultations with specialists such as oncologists or gastroenterologists.

IMPORTANT:Further testing may be necessary to determine the underlying cause of the elevated CEA.Other tumor markers should be considered depending on the clinical suspicion.

In simple words: The test shows a higher-than-normal level of a protein in your blood. This protein can be high in people with certain cancers or other health problems. More tests are needed to figure out what's causing this.

This code signifies an elevated level of carcinoembryonic antigen (CEA) in a patient's blood. CEA is a protein produced by the cells of the gastrointestinal tract and other tissues.Elevated CEA levels can be indicative of various conditions, including colorectal cancer, other cancers (lung, pancreas, breast, stomach), inflammatory bowel disease, liver disease, and smoking.Further investigation is necessary to determine the underlying cause of the elevated CEA.

Example 1: A 60-year-old male presents with unexplained weight loss, abdominal discomfort, and altered bowel habits. A CEA test is ordered, revealing an elevated level. Further colonoscopy and biopsy are performed, confirming colorectal cancer., A 55-year-old female with a history of lung cancer undergoes regular monitoring with CEA testing.A rising CEA level prompts a CT scan, revealing recurrence of the lung cancer., A 45-year-old presents with symptoms suggesting inflammatory bowel disease. While a CEA test is slightly elevated, it is not definitively diagnostic and needs to be interpreted within the context of other clinical findings, such as endoscopy results.

* Patient's medical history, including symptoms, risk factors, and family history of cancer.* Results of the CEA blood test with the reference range.* Documentation of any further investigations ordered (e.g., colonoscopy, CT scan, biopsy).* Detailed reports from any specialists involved in the care.* Final diagnosis and treatment plan.

** The interpretation of CEA levels should always be done in the context of the patient's clinical presentation and other diagnostic findings.The level of elevation and the trend over time can provide valuable information.False positive and negative results are possible.

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