Full Answer
Polyp of other parts of female genital tract 2016 2017 2018 2019 2020 2021 Billable/Specific Code N84.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM N84.8 became effective on October 1, 2020.
Benign Colon Polyps. D12.6 Benign neoplasm of colon, unspecified (Note: This code includes adenomatous polyp of colon and polyposis of colon) D12.7 Benign neoplasm of rectosigmoid junction D12.8 Benign neoplasm of the rectum Example: A 68-year-old, asymptomatic patient undergoes screening colonoscopy.
2018/2019 ICD-10-CM Diagnosis Code K31.7. Polyp of stomach and duodenum. K31.7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
FINDINGS: The cecum, ascending, transverse, descending, and sigmoid colon was normal. In the descending colon, there was a 2-mm polyp that was biopsied and submitted to pathology. ASSESSMENT: Colon polyps. Pathology Report later indicated two benign polyps.
A family of CPT codes applies to colonoscopy. For example, code 45378 applies to a colonoscopy in which no polyp is detected, while codes 45380-45385 apply to colonoscopy that involves an intervention (e.g., 45385 is the code for colonoscopy with polypectomy.)
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.
ICD-10 code K63. 5 for Polyp of colon is a medical classification as listed by WHO under the range - Diseases of the digestive system .
For Medicare beneficiaries, use Healthcare Common Procedural Coding System (HCPCS) code G0105 (Colorectal cancer screening; colonoscopy on individual at high risk) or G0121 (Colorectal cancer screening; colonoscopy on individual not meeting the criteria for high risk) as appropriate.
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 .
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.
A colon polyp without any further specificity is coded to K63. 5 (this is the default code for colon polyp).
Codes to Report other Polyps: 5 polyp of colon NOS: Code K63. 5 is used to report a hyperplastic polyp and is the default code when the type of polyp is not specified as adenomatous/ neoplastic. K62. 1 Rectal polyp: The ICD-10 code for rectal polyp is K62.
A colon polyp is a small clump of cells that forms on the lining of the colon. Most colon polyps are harmless. But over time, some colon polyps can develop into colon cancer, which may be fatal when found in its later stages. Anyone can develop colon polyps.
--Code G0121 (colorectal cancer screening; colonoscopy on an individual not meeting criteria for high risk) should be used when this procedure is performed on a beneficiary who does NOT meet the criteria for high risk.
When reporting the diagnosis code, I would suggest reporting Z12. 11 (encounter for screening for malignant neoplasm of the digestive organs) and Z86. 010 (personal history of colonic polyps) second.
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.