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Home/Diagnosis/ICD-10 Coding for Abnormal Cologuard

ICD-10 Coding for Abnormal Cologuard

R19.5
Z12.11
K63.5

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abnormal cologuard includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Positive Cologuard
Abnormal FIT-DNA Test
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Key Information: ICD-10 Coding for Abnormal Cologuard

Essential facts and insights about ICD-10 Coding for Abnormal Cologuard

Use ICD-10 code R19.5 for other fecal abnormalities, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other fecal abnormalities

Billable Code
R19.5
Billable

Diagnostic Criteria

clinical:
  • • Positive Cologuard result documented
coding:
  • • Use R19.5 as primary for asymptomatic follow-up

Applicable To

  • • Positive Cologuard result

Important Notes

  • • Ensure documentation specifies 'positive Cologuard' and links to the need for colonoscopy.

Encounter for screening for malignant neoplasm of colon

Billable Code
Z12.11
Billable

Applicable To

  • • Routine colon cancer screening

Important Notes

  • • Ensure the screening context is documented.

Polyp of colon

Billable Code
K63.5
Billable

Applicable To

  • • Colonic polyp found during colonoscopy

Important Notes

  • • Ensure biopsy results confirm polyp.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.11

Encounter for screening for malignant neoplasm of colon

Use as a secondary code if the colonoscopy is part of routine screening and the patient is asymptomatic.

Frequently Asked Questions

What is the ICD-10 code for abnormal Cologuard?

The ICD-10 code for abnormal Cologuard is R19.5, which is used for other fecal abnormalities.

How should a positive Cologuard be documented?

Document the positive Cologuard result with the test date and link it to the need for a colonoscopy.

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