VICC advises that no diagnosis code can be assigned for documentation of poor bowel preparation. If the procedure is interrupted or shortened due to the poor bowel preparation the procedure should be coded to the extent to which it was performed.
If the procedure was cancelled due to poor bowel preparation, and the admission meets criteria for reporting, then a code from Z53.- Persons encountering health services for specific procedures, not carried out can be assigned.
Z20.6, bolded below, is classified as an “acceptable principal diagnosis” in the ICD-10-CM system. Always include Z20.6 when coding PrEP or PEP visits. If an insurer requires additional coding clarifying a patient’s risk, Z20.2 (sexual exposure risk) and F19.20 (injection drug use exposure risk) can be added.
- be readmitted for bowel preparation and repeat scope at a later date. This seems to appear regularly where there is no other condition (e.g. tortuous bowel) present. VICC advises that no diagnosis code can be assigned for documentation of poor bowel preparation.
If you prep the patient for a screening or diagnostic colonoscopy and do not advance the scope due to obstruction, patient discomfort, or other complications; append modifier 53 (discontinued procedure) to report an incomplete colonoscopy.
Poor bowel preparation has been shown to be associated with lower quality indicators of colonoscopy performance, such as reduced cecal intubation rates, increased patient discomfort and lower adenoma detection.
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 Z53. 09 for Procedure and treatment not carried out because of other contraindication is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Suboptimal bowel preparation inhibits the endoscopist's ability to visualize the mucosal lining for polyps and cancers; this lack of visualization influences recommended follow-up intervals for repeat screening or surveillance colonoscopy[7,8].
If you have waited more than 3 hours without a response, then it may not be working well. Be sure you are drinking enough fluid. If that doesn't work, drink the second part of your prep and continue to drink fluids. It should work eventually.
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 .
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
Modifier 53 applies if the provider quits a procedure because the patient is at risk. In other words, the provider does not so much choose to discontinue the procedure, as sound medical practice compels him or her to do so.
Article - Billing and Coding: Incomplete Colonoscopy/Failed Colonoscopy (A55227) The .
Modifier 53Modifier 53 — Discontinued Procedure Add this modifier to a surgical or diagnostic procedure code when the physician elects to terminate the procedure due to the patient's well-being.