Personal history of other specified conditions. Z87.898 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z87 ICD-10-CM Diagnosis Code Z87. Personal history of other diseases and conditions 2016 2017 2018 2019 Non-Billable/Non-Specific Code. Code First any follow-up examination after treatment (Z09) Personal history of other diseases and conditions.
A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
Z87.898 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 Z87.898 became effective on October 1, 2021. This is the American ICD-10-CM version of Z87.898 - other international versions of ICD-10 Z87.898 may differ. Z codes represent reasons for encounters.
010, personal history of colonic polyps because the title of this subcategory in ICD-10 is personal history of benign neoplasm. Since the hyperplastic polyps are not neoplastic in nature, this code would be inappropriate.
ICD-10 code Z86. 010 for Personal history of colonic polyps is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
Group 1CodeDescription81203APC (ADENOMATOUS POLYPOSIS COLI) (EG, FAMILIAL ADENOMATOSIS POLYPOSIS [FAP], ATTENUATED FAP) GENE ANALYSIS; DUPLICATION/DELETION VARIANTS81479UNLISTED MOLECULAR PATHOLOGY PROCEDURE2 more rows
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
In this case, since the word SURVEILLANCE colonoscopy is documented, I would recommend coding this as a screening (Z12. 11), followed by any findings, as well as the personal history of colonic polyps (Z86. 010) – sequenced in that order.
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.
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 family history but no personal history of colon polyps or colon cancer is sometimes considered surveillance and does not fall under screening benefits.
ICD-10 code Z83. 71 for Family history of colonic polyps is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .