ICD-10 Coding for History of Colonic Polyps(Z86.010, Z83.71)
Complete ICD-10-CM coding and documentation guide for History of Colonic Polyps. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Colonic Polyps
Z86.010-Z86.019Primary Range
Personal history of certain other diseases
This range includes codes for personal history of colonic polyps, which is crucial for surveillance and follow-up care.
Family history of other diseases of the digestive system
This range includes codes for family history of colonic polyps, important for risk assessment and screening.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.010 | Personal history of colonic polyps | Use for patients with a history of colonic polyps that have been removed. |
|
| Z83.71 | Family history of colonic polyps | Use when documenting a family history of colonic polyps. |
|
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 history of colonic polyps
Essential facts and insights about History of Colonic Polyps
Primary ICD-10-CM Codes for history of colonic polyps
Decision Criteria
clinical Criteria
- Patient has documented history of polyp removal.
coding Criteria
- Do not use if the patient currently has polyps.
Applicable To
- History of adenomatous polyps
- History of hyperplastic polyps
Excludes
- Current colonic polyps (K63.5)
Clinical Validation Requirements
- Pathology report confirming prior polyp type
- Documentation of previous polyp removal
Code-Specific Risks
- Incorrectly using for current polyps
- Not specifying polyp type
Coding Notes
- Ensure documentation specifies the type of polyp and confirms removal.
Z83.71 - Family history of colonic polyps
Use when documenting a family history of colonic polyps.
Applicable To
- Family history of adenomatous polyps
Excludes
- Personal history of colonic polyps (Z86.010)
Clinical Validation Requirements
- Family medical history documentation
- Genetic counseling notes if applicable
Coding Notes
Ensure family history is clearly documented in the patient's record.
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 History of Colonic Polyps to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.010.
Impact
Clinical: May lead to inappropriate follow-up intervals., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always include pathology report details., Use templates to ensure complete documentation.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient history records.
Mitigation Strategy
Use Z86.010 for history after polyp removal.
Impact
Using current polyp codes for historical cases.
Mitigation Strategy
Regular training on code differentiation.
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 History of Colonic Polyps, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Colonic Polyps
Use these documentation templates to ensure complete and accurate documentation for History of Colonic Polyps. These templates include all required elements for proper coding and billing.
Surveillance colonoscopy documentation
Specialty: GastroenterologyRequired Elements
- Indication for colonoscopy
- History of polyp type and removal
- Family history of polyps
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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