ICD-10 Coding for Colon Polyp Grade 2 and Inguinal Hernia(D12.6, K40.90)
Complete ICD-10-CM coding and documentation guide for Colon Polyp Grade 2 and Inguinal Hernia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colon Polyp Grade 2 and Inguinal Hernia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D12.6 | Benign neoplasm of colon, unspecified | Use when a pathology report confirms an adenomatous polyp in the colon. |
|
| K40.90 | Unilateral inguinal hernia, without obstruction or gangrene | Use when a unilateral inguinal hernia is diagnosed without complications. |
|
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 grade 2 colon polyp
Essential facts and insights about Colon Polyp Grade 2 and Inguinal Hernia
Primary ICD-10-CM Codes for colon polyp grade 2 inguinal hernia
Decision Criteria
clinical Criteria
- Histological confirmation of adenomatous tissue
Applicable To
- Adenomatous polyp of colon
Excludes
- Malignant neoplasm of colon (C18.-)
Clinical Validation Requirements
- Pathology report confirming adenomatous polyp
- Histological grading as moderately differentiated
Code-Specific Risks
- Incorrectly coding hyperplastic polyps as adenomatous
Coding Notes
- Ensure pathology report specifies adenomatous nature.
K40.90 - Unilateral inguinal hernia, without obstruction or gangrene
Use when a unilateral inguinal hernia is diagnosed without complications.
Applicable To
- Unilateral inguinal hernia
Excludes
- Bilateral inguinal hernia (K40.20)
Clinical Validation Requirements
- Physical examination confirming hernia
- Imaging studies if necessary
Coding Notes
Document laterality and any complications.
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 Polyp Grade 2 and Inguinal Hernia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D12.6.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document laterality, Use templates to ensure completeness
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate medical records and surveillance intervals.
Mitigation Strategy
Verify pathology reports to confirm adenomatous nature before coding.
Impact
Risk of coding hyperplastic polyps as adenomatous.
Mitigation Strategy
Verify all pathology reports before coding.
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 Polyp Grade 2 and Inguinal Hernia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colon Polyp Grade 2 and Inguinal Hernia
Use these documentation templates to ensure complete and accurate documentation for Colon Polyp Grade 2 and Inguinal Hernia. These templates include all required elements for proper coding and billing.
Colonoscopy with Polypectomy and Hernia Repair
Specialty: Gastroenterology and General SurgeryRequired Elements
- Procedure details
- Pathology findings
- Hernia characteristics
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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