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Home/Diagnosis/ICD-10 Coding for Polyp

ICD-10 Coding for Polyp

D12.0
K63.5
K51.4

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

Also Known as:
Colorectal Polyp
Colon Polyp
Rectal Polyp
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Key Information: ICD-10 Coding for Polyp

Essential facts and insights about ICD-10 Coding for Polyp

Use ICD-10 code D12.0 for benign neoplasm of cecum, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Benign neoplasm of cecum

Billable Code
D12.0
Billable

Diagnostic Criteria

  • • Confirmed adenomatous histology from pathology

Applicable To

  • • Adenomatous polyp of cecum

Important Notes

  • • Ensure pathology confirms adenomatous nature before coding.

Polyp of colon

Billable Code
K63.5
Billable

Diagnostic Criteria

  • • Clinical documentation indicating hyperplastic nature

Applicable To

  • • Hyperplastic polyp of colon

Important Notes

  • • Default code for unspecified polyps unless adenomatous histology is confirmed.

Inflammatory polyps of colon

Non-Billable
K51.4
Non-Billable

Diagnostic Criteria

  • • Association with inflammatory bowel disease

Applicable To

  • • Polyps associated with inflammatory bowel disease

Important Notes

  • • Ensure documentation supports IBD association.
Frequently Asked Questions

What is the ICD-10 code for adenomatous polyp?

The ICD-10 code for an adenomatous polyp is D12.x, depending on the specific location within the colon or rectum.

How do you code a hyperplastic polyp?

A hyperplastic polyp is coded as K63.5 for colon or K62.1 for rectal location, unless specified otherwise by histology.

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