45.23 Colonoscopy - ICD-9-CM Vol. 3 Procedure Codes.
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
What's the right code to use for screening colonoscopy? For commercial and Medicaid patients, use CPT code 45378 (Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression [separate procedure]).
Z12. 12 Encounter for screening for malignant neoplasm of rectum - ICD-10-CM Diagnosis Codes.
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.
19.
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 .
Diagnostic colonoscopies are used when a patient exhibits specific symptoms that may indicate colon cancer or other issues. This procedure helps the physician further diagnose the patient's condition. Diagnostic colonoscopies may also involve biopsies, lesion removals, and the like.
V76.51 is a legacy non-billable code used to specify a medical diagnosis of special screening for malignant neoplasms of colon. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an exact match to ICD-9 code V76.51:
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.