ICD-10 Coding for Adenomatous Polyp of Colon(D12.0, D12.2)
Complete ICD-10-CM coding and documentation guide for Adenomatous Polyp of Colon. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adenomatous Polyp of Colon
D12.0-D12.6Primary Range
Benign neoplasm of colon, rectum, anus and anal canal
This range includes codes for adenomatous polyps located in different parts of the colon.
Family history of colonic polyps
Used to indicate a family history of adenomatous polyps, which may affect screening and surveillance recommendations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D12.0 | Benign neoplasm of cecum | Use when an adenomatous polyp is confirmed in the cecum. |
|
| D12.2 | Benign neoplasm of ascending colon | Use when an adenomatous polyp is confirmed in the ascending colon. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for adenomatous polyp of colon
Essential facts and insights about Adenomatous Polyp of Colon
Primary ICD-10-CM Codes for adenomatous polyp of colon
Decision Criteria
clinical Criteria
- Histological confirmation of adenomatous tissue
Applicable To
- Adenomatous polyp of cecum
Excludes
- Malignant neoplasm of cecum (C18.0)
Clinical Validation Requirements
- Pathology report confirming adenomatous features
Code-Specific Risks
- Misclassification if location is not specified
Coding Notes
- Ensure documentation specifies 'adenomatous' to avoid misclassification.
D12.2 - Benign neoplasm of ascending colon
Use when an adenomatous polyp is confirmed in the ascending colon.
Applicable To
- Adenomatous polyp of ascending colon
Excludes
- Malignant neoplasm of ascending colon (C18.2)
Clinical Validation Requirements
- Pathology report confirming adenomatous features
Coding Notes
Ensure documentation specifies 'adenomatous' to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for malignant neoplasm of colon
Z12.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adenomatous Polyp of Colon to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D12.0.
Impact
Clinical: Misclassification of polyp type., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Educate staff on documentation requirements., Use templates that prompt for specific details.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate health records and statistics.
Mitigation Strategy
Ensure documentation specifies 'adenomatous' to use D12.x codes.
Impact
Lack of specificity in documentation can lead to incorrect coding.
Mitigation Strategy
Implement detailed documentation templates.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Adenomatous Polyp of Colon, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adenomatous Polyp of Colon
Use these documentation templates to ensure complete and accurate documentation for Adenomatous Polyp of Colon. These templates include all required elements for proper coding and billing.
Colonoscopy with adenomatous polyp removal
Specialty: GastroenterologyRequired Elements
- Location of polyp
- Size of polyp
- Histological confirmation
- Family history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Adenomatous Polyp of Colon? Ask your questions below.