screening colonoscopy for colon cancer icd 10 cm code

by Jon Ledner Jr. 6 min read

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.May 1, 2016

Why colonoscopy may increase colon cancer incidence?

4 rows · Dec 16, 2021 · Common colorectal screening diagnosis codes. ICD-10-CM. Description. Z12.11. Encounter ...

What type of cancer is found during colonoscopy?

Oct 01, 2015 · ICD-10-CM code Z12.10 was moved from Group 2 to Group 1. 10/01/2016 R6 Due to the annual ICD-10-CM code update for 2017, ICD-10-CM code K52.2 was deleted from Group 2 of the "ICD-10-CM Codes that Support Medical Necessity" section of the article. 05/01/2016 R5

What is the diagnosis code for screening colonoscopy?

Encounter for screening for malignant neoplasm of colon. Screening for colon cancer; Screening for colon cancer done; Encounter for screening colonoscopy NOS. ICD-10-CM Diagnosis Code Z12.11. Encounter for screening for malignant neoplasm of colon. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt.

Does a colonoscopy show cancer?

Oct 01, 2021 · Encounter for screening for malignant neoplasm of colon. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt. Z12.11 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 Z12.11 became effective on October 1, 2021.


When do you use Z12 11?

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.

Is a colonoscopy a colorectal cancer screening?

A colonoscopy is one of several screening tests for colorectal cancer. Talk to your doctor about which test is right for you. The U.S. Preventive Services Task Force (Task Force) recommends that adults age 45 to 75 be screened for colorectal cancer.

What is the CPT code for a screening colonoscopy?

Article GuidanceCOLORECTAL CANCER SCREENING GUIDELINESColorectal Cancer Screening Test/ProcedureCPT/HCPCS CodeScreening Fecal-Occult Blood Test82270 G0328Screening Flexible SigmoidoscopyG0104Screening Colonoscopy - individual at high riskG01055 more rows

When do you code a screening colonoscopy?

When a patient presents for a colonoscopy due to a gastrointestinal issue, then this becomes a diagnostic procedure. Even if the patient qualifies for a screening, a screening cannot be coded if they have symptoms. The coder should code the symptoms or applicable findings and any interventions performed.

What is a screening colonoscopy?

A “screening” colonoscopy is a colonoscopy that is done for the prevention of colorectal cancer and is considered a preventive health service. A screening colonoscopy will have no out-of-pocket costs for patients (such as co-pays or deductibles).

What's a colonoscopy test?

A colonoscopy (koe-lun-OS-kuh-pee) is an exam used to detect changes or abnormalities in the large intestine (colon) and rectum. During a colonoscopy, a long, flexible tube (colonoscope) is inserted into the rectum. A tiny video camera at the tip of the tube allows the doctor to view the inside of the entire colon.Apr 18, 2020

What ICD-10-CM code is reported for a routine screening mammogram?

An ICD-10-CM diagnosis code(s) should be linked to the appropriate CPT mammography code reported. The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast.

What is the ICD 10 code for incomplete colonoscopy?

Incomplete Colonoscopy B Incomplete Colonoscopies) are 44388, 45378, G0105, and G0121.Jul 8, 2021

What is the difference between a diagnostic colonoscopy and a screening colonoscopy?

Screening colonoscopies and diagnostic colonoscopies are performed similarly using the same equipment. The difference is how the procedure is billed to your insurance. Billing will depend on your symptoms (or lack of symptoms) and what your doctor finds during the procedure.Jan 25, 2022

What ICD-10-CM code is reported for non erosive duodenitis?

What ICD-10-CM code is reported for non-erosive duodenitis? Rationale: Look in the ICD-10-CM Alphabetic Index for Duodenitis (nonspecific) (peptic) K29. 80.

Is history of colon polyps considered a screening?

A family history but no personal history of colon polyps or colon cancer is sometimes considered surveillance and does not fall under screening benefits.

When should a code for signs and symptoms be reported refer to ICD-10-CM guidelines?

There are three general guidelines to follow for reporting signs and symptoms in ICD-10: When no diagnosis has been established for an encounter, code the condition or conditions to the highest degree of certainty, such as symptoms, signs, abnormal test results, or other reason for the visit.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

Abstract:#N#This article represents local instructions for CMS National Coverage Policy (CMS Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Section 210.3).

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.