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Home/Diagnosis/ICD-10 Coding for Colorectal Screening

ICD-10 Coding for Colorectal Screening

Z12.11
K63.5
Z86.010

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

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

Essential facts and insights about ICD-10 Coding for Colorectal 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
  • • Screening intent documented

Applicable To

  • • Routine colorectal cancer screening

Important Notes

  • • Ensure 'screening' is clearly documented to avoid misclassification.

Polyp of colon

Billable Code
K63.5
Billable

Diagnostic Criteria

  • • Pathology report confirming polyps

Applicable To

  • • Colonic polyps found during screening

Important Notes

  • • Ensure polyps are documented in the procedure report.

Personal history of colonic polyps

Non-Billable
Z86.010
Non-Billable

Diagnostic Criteria

  • • Documented history of colonic polyps

Applicable To

  • • Surveillance colonoscopy due to history of polyps

Important Notes

  • • Ensure history of polyps is documented in the patient's medical history.
Ancillary Codes

Additional codes that may be used with this diagnosis

K63.5

Polyp of colon

Use when polyps are found during screening.

Frequently Asked Questions

What is the ICD-10 code for colorectal screening?

The ICD-10 code for colorectal screening is Z12.11, used for routine screening in asymptomatic patients.

How do you code a screening colonoscopy with polyp removal?

For a screening colonoscopy with polyp removal, use Z12.11 as the primary code and K63.5 for the polyps, with a PT modifier for Medicare.

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