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Home/Diagnosis/ICD-10 Coding for Colon Screening

ICD-10 Coding for Colon Screening

Z12.11
Z86.010

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

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

Essential facts and insights about ICD-10 Coding for Colon 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

  • • Patient is asymptomatic and meets age or risk criteria for screening.

Applicable To

  • • Routine colon cancer screening

Important Notes

  • • Ensure documentation specifies 'screening' to differentiate from diagnostic procedures.

Personal history of colonic polyps

Non-Billable
Z86.010
Non-Billable

Applicable To

  • • History of adenomatous polyps

Important Notes

  • • Ensure past polyp history is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.0

Family history of malignant neoplasm of digestive organs

Use when there is a family history of colorectal cancer.

Frequently Asked Questions

What is the ICD-10 code for colon screening?

The ICD-10 code for colon screening is Z12.11, used for asymptomatic patients undergoing routine screening colonoscopy.

How do you code a colonoscopy with polyp removal?

Use Z12.11 for screening, add K63.5 for polyps, and CPT 45385 with modifier 33 for commercial payers.

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