ICD-10 Coding for Benign Neoplasm of Colon(D12.0, D12.6)
Complete ICD-10-CM coding and documentation guide for Benign Neoplasm of Colon. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Benign Neoplasm of Colon
D12.0-D12.6Primary Range
Benign neoplasms of the digestive system
This range includes site-specific codes for benign neoplasms of the colon.
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 a benign neoplasm is confirmed in the cecum. |
|
| D12.6 | Benign neoplasm of colon, unspecified | Use when the specific site within the colon is not documented. |
|
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 benign neoplasm of colon
Essential facts and insights about Benign Neoplasm of Colon
Primary ICD-10-CM Codes for benign neoplasm of colon
Decision Criteria
clinical Criteria
- Histology confirms adenomatous tissue in cecum.
Applicable To
- Adenomatous polyp of cecum
Excludes
- Malignant neoplasm of cecum
Clinical Validation Requirements
- Pathology report confirming adenomatous tissue
- Imaging confirming cecum location
Code-Specific Risks
- Incorrect site documentation leading to wrong code usage
Coding Notes
- Ensure documentation specifies adenomatous histology.
D12.6 - Benign neoplasm of colon, unspecified
Use when the specific site within the colon is not documented.
Applicable To
- Adenomatous polyp of colon, site unspecified
Excludes
- Malignant neoplasm of colon, unspecified
Clinical Validation Requirements
- Pathology report confirming benign neoplasm
- Lack of specific site documentation
Coding Notes
Default to D12.6 only if no specific site is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Benign Neoplasm 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: May affect treatment decisions and follow-up care., Regulatory: Leads to incorrect coding and potential audits., Financial: Can result in incorrect billing and reimbursement.
Mitigation Strategy
Train staff on the importance of site documentation, Use checklists during procedures
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Incorrect coding can lead to compliance issues., Data Quality: Affects the accuracy of medical records.
Mitigation Strategy
Ensure histology confirms adenomatous tissue and use D12 codes.
Impact
Lack of specific site documentation can lead to incorrect coding.
Mitigation Strategy
Implement mandatory site documentation protocols.
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 Benign Neoplasm of Colon, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Benign Neoplasm of Colon
Use these documentation templates to ensure complete and accurate documentation for Benign Neoplasm of Colon. These templates include all required elements for proper coding and billing.
Colonoscopy with polyp removal
Specialty: GastroenterologyRequired Elements
- Polyp size and location
- Type of polyp (adenomatous, hyperplastic)
- Procedure performed
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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