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Home/Diagnosis/ICD-10 Coding for Rectal Mass

ICD-10 Coding for Rectal Mass

C20.9
D12.8

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

Also Known as:
Rectal Tumor
Rectal Neoplasm
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Key Information: ICD-10 Coding for Rectal Mass

Essential facts and insights about ICD-10 Coding for Rectal Mass

Use ICD-10 code C20.9 for malignant neoplasm of rectum, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of rectum, unspecified

Non-Billable
C20.9
Non-Billable

Diagnostic Criteria

clinical:
  • • Confirmed adenocarcinoma in rectal tissue
documentation:
  • • Pathology report specifying adenocarcinoma

Applicable To

  • • Adenocarcinoma of rectum

Important Notes

  • • Ensure documentation specifies the exact location and histological type.

Benign neoplasm of rectum

Billable Code
D12.8
Billable

Diagnostic Criteria

clinical:
  • • Histology confirming adenomatous polyp

Applicable To

  • • Adenomatous polyp of rectum

Important Notes

  • • Ensure histological confirmation before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

C78.7

Secondary malignant neoplasm of liver

Use when there is documented liver metastasis.

Frequently Asked Questions

What is the ICD-10 code for a rectal mass?

The ICD-10 code for a malignant rectal mass is C20.9. For benign adenomatous polyps, use D12.8.

How do you document a rectal mass?

Document the size, location, and histological type of the rectal mass. Include any metastatic sites if applicable.

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