What does a positive mean on a cologuard test? A positive result does not necessarily mean that you have cancer. It means that Cologuard detected DNA and/or hemoglobin biomarkers in the stool which are associated with colon cancer or precancer.
ICD-10 codes covered if selection criteria are met: C18.0 - C21.8: Malignant neoplasm of colon, rectosigmoid junction, rectum, anus and anal canal: C7a.020 - C7a.026: Malignant carcinoid tumors of the appendix, large intestine, and rectum: D12.0 - D12.9: Benign neoplasm of colon, rectum, anus and anal canal: D3a.020 - D3a.029
Other abnormal findings in specimens from other organs, systems and tissues
ICD-10 code R19. 5 for Other fecal abnormalities is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
K92. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K92.
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. Z80. 0: Family history of malignant neoplasm of digestive organs.
K56. 41 - Fecal impaction | ICD-10-CM.
When a patient undergoes colonoscopy for a positive Cologuard test and there are no abnormal findings, the coder would report the diagnosis as R19. 5 (other fecal abnormalities).
Effective July 1, 2018, Cologuard (CPT code 81528) has been approved for colorectal cancer screening (CRC).
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.
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 .
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.
9: Fever, unspecified.
R19. 7 - Diarrhea, unspecified. ICD-10-CM.
ICD-10 | Fecal impaction (K56. 41)