Complete ICD-10-CM coding and documentation guide for icd-10 coding for cologuard® stool dna testing includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Cologuard® Stool DNA Testing
Use ICD-10 code Z12.11 for encounter for screening for malignant neoplasm of colon, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Other fecal abnormalities
Use when Cologuard® test is positive.
The ICD-10 code for a positive Cologuard test is R19.5, which indicates abnormal fecal findings. For Medicare, it should be used with Z12.11 to maintain screening intent.
For a colonoscopy following a positive Cologuard test, use Z12.11 as the primary code and R19.5 as secondary. For Medicare, append the KX modifier to G0121.