encounter for colon cancer screening. icd 10 code

by Dr. Madie Braun V 8 min read

A screening colonoscopy should be reported with the following International Classification of Diseases, 10th edition (ICD-10) codes: Z12. 11: Encounter for screening for malignant neoplasm of the colon.May 1, 2016

What to expect during your colon cancer screening?

  • Diabetic patients who find it difficult to go on liquid diets
  • Patients who have difficulty ingesting large amounts of liquid
  • Patients who have difficulty passing stools
  • Patients with dementia or memory issues

What are my options for colon cancer screening?

The recommended tests fall into 2 categories:

  • Fecal immunochemical test (FIT) is used to find tiny amounts of blood in the stool. ...
  • Guaiac-based fecal occult blood test (gFOBT) is also used to find hidden blood in the stool. ...
  • Stool DNA testing looks for certain DNA or gene changes in cells that can get into the stool from polyps (pre-cancerous growths) or cancer cells. ...

How often do you need colon cancer screening?

When should you start screening for colorectal cancer?

  • highly sensitive fecal immunological test (FIT) every year
  • highly sensitive guaiac-based fecal occult blood test (gFOBT) every year
  • multi-targeted stool DNA test (MT-sDNA) every three years
  • colonoscopy every 10 years
  • CT colonography every five years
  • flexible sigmoidoscopy (FSIG) every five years

What you should know about colon cancer screening?

Your doctor can provide more information on screening options and recommend which is best for you based on several factors, including your:

  • Family history
  • Overall health
  • Personal preferences

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What is a Z12 11?

Z12. 11 encounter for screening for malignant neoplasm of colon.

Is Z12 11 a preventive code?

The colonoscopy or sigmoidoscopy is still classified as a preventive service eligible for coverage at the no-member-cost-share benefit level. a. Submit the claim with Z12. 11 (Encounter for screening for malignant neoplasm of colon) as the first-listed diagnosis code; this is the reason for the service or encounter.

Can Z12 11 be a principal diagnosis?

If the patient presents for a screening colonoscopy and a polyp or any other lesion/diagnosis is found, the primary diagnosis is still going to be Z12. 11, Encounter for screening for malignant neoplasm of colon. The coder should also report the polyp or findings as additional diagnosis codes.

What is the diagnosis code for screening colonoscopy?

To report screening colonoscopy on a patient not considered high risk for colorectal cancer, use HCPCS code G0121 and diagnosis code V76. 51 (Special screening for malignant neoplasm of the colon).

What does code Z12 31 mean?

For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient.

Can you code Z12 11 and Z86 010?

Z12. 11 (encounter for screening for malignant neoplasm of colon) Z80. 0 (family history of malignant neoplasm of digestive organs)...Two Sets of Procedure Codes Used for Screening Colonoscopy:Common colorectal screening diagnosis codesICD-10-CMDescriptionZ86.010Personal history of colonic polyps2 more rows•Apr 20, 2022

What does Z12 12 mean?

ICD-10 code Z12. 12 for Encounter for screening for malignant neoplasm of rectum is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Do you use Z12 11 on surveillance colonoscopy?

There are 2 different sets of screening colonoscopy codes: There are payors that accept the Z12. 11 (encounter for screening for malignant neoplasm of colon) in the first coding position, while other payors either require this diagnosis in a subsequent position behind family history codes or prefer to see the Z12.

What does encounter for screening mean?

Applicable To. Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

Whats the difference between a screening and diagnostic colonoscopy?

Diagnostic colonoscopy procedures, additionally known as surveillance or follow-up colonoscopy tests, vary from screening colonoscopies since they are carried out when there is an elevated risk that cancer is likely to develop or when there is evidence that colon or rectal cancer may be present.

Is a surveillance colonoscopy the same as a screening colonoscopy?

Medicare and most insurance carriers will pay for screening colonoscopies once every 10 years. Surveillance colonoscopies are performed on patients who have a prior personal history of colon polyps or colon cancer. Medicare will pay for these exams once every 24 months.

When is Z12 11 coded?

ICD-10 code Z12. 11 for Encounter for screening for malignant neoplasm of colon is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .