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Home/Diagnosis/ICD-10 Coding for Positive Cologuard Test

ICD-10 Coding for Positive Cologuard Test

Z12.11
R19.5

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

Also Known as:
Positive Stool DNA Test
Positive FIT-DNA Test
cologuard screening positive
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Key Information: ICD-10 Coding for Positive Cologuard Test

Essential facts and insights about ICD-10 Coding for Positive Cologuard Test

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 undergoing routine screening.

Applicable To

  • • Routine colorectal cancer screening

Important Notes

  • • Ensure documentation specifies screening purpose.

Other fecal abnormalities

Billable Code
R19.5
Billable

Diagnostic Criteria

  • • Positive Cologuard test result

Applicable To

  • • Positive fecal occult blood test

Important Notes

  • • Ensure positive Cologuard result is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R19.5

Other fecal abnormalities

Use when Cologuard test is positive.

Frequently Asked Questions

How do you code a positive Cologuard test?

For a positive Cologuard test, use Z12.11 for the screening encounter and R19.5 for the positive result. If follow-up finds cancer, use C18.9.

What is the ICD-10 code for a positive Cologuard test?

The ICD-10 code for a positive Cologuard test is R19.5, used as a secondary code with Z12.11 for screening.

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