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Home/Diagnosis/ICD-10 Coding for Colon Cancer Screening

ICD-10 Coding for Colon Cancer Screening

Z12.11
Z86.010
K63.5

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

Also Known as:
Colorectal Cancer Screening
CRC Screening
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Key Information: ICD-10 Coding for Colon Cancer Screening

Essential facts and insights about ICD-10 Coding for Colon Cancer Screening

Use ICD-10 code Z12.11 for encounter for screening for malignant neoplasm of colon, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for screening for malignant neoplasm of colon

Billable Code
Z12.11
Billable

Diagnostic Criteria

clinical:
  • • Patient is asymptomatic and undergoing routine screening.
documentation:
  • • Procedure note explicitly states 'screening'.

Applicable To

  • • Screening colonoscopy
  • • Surveillance colonoscopy

Important Notes

  • • Always list Z12.11 first, even if findings are present.

Personal history of colonic polyps

Non-Billable
Z86.010
Non-Billable

Applicable To

  • • History of adenomatous polyps

Important Notes

  • • Ensure documentation of past polyp history.

Polyp of colon

Billable Code
K63.5
Billable

Applicable To

  • • Colonic polyp

Important Notes

  • • Only use during the initial encounter when polyps are found.

Family history of malignant neoplasm of digestive organs

Billable Code
Z80.0
Billable

Applicable To

  • • Family history of colon cancer

Important Notes

  • • Ensure family history is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z86.010

Personal history of colonic polyps

Use as secondary when patient has a history of polyps.

K63.5

Polyp of colon

Use when polyps are found during screening.

Frequently Asked Questions

What is the ICD-10 code for colon cancer screening?

The ICD-10 code for colon cancer screening is Z12.11, used for routine and surveillance colonoscopies.

How do you code a colonoscopy with polyp removal?

For a colonoscopy with polyp removal, use Z12.11 as the primary code and K63.5 for the polyp, with the PT modifier if it converts from screening to diagnostic.

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