Common colorectal screening diagnosis codes | |
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ICD-10-CM | Description |
Z12.11 | Encounter for screening for malignant neoplasm of colon |
Z80.0 | Family history of malignant neoplasm of digestive organs |
Z86.010 | Personal history of colonic polyps |
The first clue that colorectal cancer could be inherited is when a younger person gets it. “Whenever we see someone under age 50 with colon or rectal cancer, we refer them for genetic testing ,” says Dr. Church. The next clue is a history of colorectal cancer in the family.
The following ICD-10 codes are used to report a screening colonoscopy:
Other times, you inherit a copy from your parents or grandparents. That’s an inherited mutation. 2. Several of the most common cancers can be attributed to inherited genetic mutations. “Ovarian, breast, pancreas, stomach, colon, prostate, endometrial, kidney, and melanoma skin cancers are thought to have a significant inherited piece,” says Ross. There are other rarer cancers too.
What You Can Do
Personal history of other malignant neoplasm of large intestine. Z85. 038 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 Z85.
A family history of colon cancer means that you have an immediate family member (or multiple other family members) who've had colorectal cancer. This can put you at an increased risk for the disease.
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 .
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.
*For screening, people are considered to be at average risk if they do not have: A personal history of colorectal cancer or certain types of polyps. A family history of colorectal cancer. A personal history of inflammatory bowel disease (ulcerative colitis or Crohn's disease)
Based on current recommendations, most people start colorectal cancer screening at age 45, but if you have a family history your doctor may recommend the following:Colonoscopy starting at age 40, or 10 years before the age that the immediate family member was diagnosed with cancer,More frequent screening,More items...
“Code Z86. 010, Personal history of colonic polyps, should be assigned when 'history of colon polyps' is documented by the provider.
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.
A family history of colorectal cancer or adenomatous polyps The risk is even higher if that relative was diagnosed with cancer when they were younger than 50 , or if more than one first-degree relative is affected.
Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is reported for screening mammograms while Z12. 39 (Encounter for other screening for malignant neoplasm of breast) has been established for reporting screening studies for breast cancer outside the scope of mammograms.
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. However, coders are coming across many routine mammogram orders that use Z12. 39 (Encounter for other screening for malignant neoplasm of breast).
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 .