ICD-10 Coding for Colon Adenoma(D12.0, D12.2)
Complete ICD-10-CM coding and documentation guide for Colon Adenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colon Adenoma
D12.0-D12.9Primary Range
Benign neoplasms of colon, rectum, anus, and anal canal
This range includes codes for benign neoplasms such as adenomatous polyps in various parts of the colon.
Polyp of colon, unspecified
Used when the polyp type is unspecified or not confirmed as adenomatous.
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 colon adenoma
Essential facts and insights about Colon Adenoma
Primary ICD-10-CM Codes for colon adenoma
Decision Criteria
clinical Criteria
- Confirmed adenomatous polyp in cecum
Applicable To
- Adenomatous polyp of cecum
Excludes
- Malignant neoplasm of cecum (C18.0)
Clinical Validation Requirements
- Pathology report confirming adenomatous histology
Code-Specific Risks
- Incorrectly coding as malignant if not confirmed
Coding Notes
- Ensure adenomatous nature is documented.
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 histology
Coding Notes
Document adenomatous nature and location.
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 Colon Adenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D12.0.
Impact
Clinical: Misrepresentation of procedure purpose., Regulatory: Non-compliance with screening guidelines., Financial: Potential loss of reimbursement for screening.
Mitigation Strategy
Ensure screening intent is documented., Verify code sequencing.
Impact
Reimbursement: Potential underpayment due to incorrect code usage., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting clinical records.
Mitigation Strategy
Verify pathology reports to confirm adenomatous nature.
Impact
Failure to confirm adenomatous histology before coding.
Mitigation Strategy
Require pathology report review before finalizing codes.
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 Colon Adenoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colon Adenoma
Use these documentation templates to ensure complete and accurate documentation for Colon Adenoma. These templates include all required elements for proper coding and billing.
Surveillance Colonoscopy
Specialty: GastroenterologyRequired Elements
- Indication for procedure
- Findings
- Pathology results
- Follow-up recommendations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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