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ICD 10 code for Encounter for screening for malignant neoplasm of colon. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Z12.11.
How to code for a screening colonoscopy, what modifiers are needed and what diagnosis codes to assign can be challenging for surgeons.
What’s the right code to use when a patient needs a screening colonoscopy following a positive result from a non-invasive CRC screening test? What is the difference between G0105 and G0121? What are some examples for screening colonoscopy coding?
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 •Z80.0: Family history of malignant neoplasm of digestive organs •Z86.010: Personal history of colonic polyps If a polyp is found and
Step 1: Define Screening vs. Surveillance Colonoscopy, Determine Patient Need. Physicians and coders must be able to distinguish between a screening and surveillance colonoscopy. As defined by The U.S. Preventive Services Task Force (USPSTF):
Per the ICD-10-CM guidelines, “A screening code may be a first-listed code if the reason for the visit is specifically for the screening exam.” That code would be Z12.11 Encounter for screening for malignant neoplasm of colon. To indicate risk, code selection will depend on the documented patient history (see the Medicare Administrative ...
Here are the most common colorectal cancer (CRC) screening tests — including colonoscopies and stool-based tests — with guidance on how to code for them and what patients can usually expect to pay. You can also view additional details & FAQs on coding for screening colonoscopies.
Z12.11 is a billable diagnosis code used to specify a medical diagnosis of encounter for screening for malignant neoplasm of colon. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
ICD-10 Diagnosis Codes. For multi-target stool DNA (sDNA) test, use Z12.11 Encounter for screening for malignant neoplasm of colon and Z12.12 Encounter for screening for malignant neoplasm of rectum. See NCD 210.3 for a full list of applicable diagnosis codes.
Here is the citation from the ICD-10-CM and ICD-10-PCS Coding Handbook regarding screening examinations: “Codes from categories Z11-Z13, Encounter for screening, are assigned to encounters for tests performed to identify a disease or disease precursors for the purpose of early detection and treatment for patients who test positive.