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Home/Diagnosis/ICD-10 Coding for Positive Fecal Occult Blood Test

ICD-10 Coding for Positive Fecal Occult Blood Test

R19.5
Z12.11

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

Also Known as:
Positive FOBT
Positive FIT
Abnormal Fecal Immunochemical Test
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Key Information: ICD-10 Coding for Positive Fecal Occult Blood Test

Essential facts and insights about ICD-10 Coding for Positive Fecal Occult Blood Test

Use ICD-10 code R19.5 for other fecal abnormalities, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other fecal abnormalities

Billable Code
R19.5
Billable

Diagnostic Criteria

clinical:
  • • Positive lab result from FOBT or FIT
documentation:
  • • Explicit mention of test type and result in medical record

Applicable To

  • • Positive fecal occult blood test
  • • Abnormal fecal immunochemical test

Important Notes

  • • Ensure documentation specifies test type (FIT or guaiac) and clinical context (screening vs. diagnostic).

Encounter for screening for malignant neoplasm of colon

Billable Code
Z12.11
Billable

Applicable To

  • • Routine colorectal cancer screening

Important Notes

  • • Ensure screening context is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z12.11

Primary code for screening encounters; use R19.5 as secondary if test is positive.

Encounter for screening for malignant neoplasm of colon

Frequently Asked Questions

What is the ICD-10 code for a positive FOBT?

The ICD-10 code for a positive fecal occult blood test (FOBT) is R19.5, which indicates other fecal abnormalities.

How do you code a positive FOBT in a screening context?

In a screening context, use Z12.11 as the primary code and R19.5 as the secondary code for a positive FOBT.

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