ICD-10 Coding for Tubular Adenoma of Colon(D12.0, D12.5)
Complete ICD-10-CM coding and documentation guide for Tubular Adenoma of Colon. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tubular Adenoma of Colon
D12.0-D12.9Primary Range
Benign neoplasm of colon, rectum, anus
This range includes codes for benign neoplasms of the colon, including tubular adenomas.
Encounter for screening for malignant neoplasm of colon
Used as a principal diagnosis for screening colonoscopies.
Personal history of colonic polyps
Indicates a history of adenomatous polyps, important for surveillance.
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 tubular adenoma is confirmed in the cecum. |
|
| D12.5 | Benign neoplasm of sigmoid colon | Use when a tubular adenoma is confirmed in the sigmoid 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 tubular adenoma of colon
Essential facts and insights about Tubular Adenoma of Colon
Primary ICD-10-CM Codes for tubular adenoma of colon
Decision Criteria
clinical Criteria
- Confirmed tubular adenoma in cecum
Applicable To
- Tubular adenoma of cecum
Excludes
- Malignant neoplasm of cecum
Clinical Validation Requirements
- Pathology report confirming tubular adenoma
- Colonoscopy findings
Code-Specific Risks
- Misclassification as hyperplastic polyp
Coding Notes
- Ensure documentation specifies 'tubular adenoma' and location.
D12.5 - Benign neoplasm of sigmoid colon
Use when a tubular adenoma is confirmed in the sigmoid colon.
Applicable To
- Tubular adenoma of sigmoid colon
Excludes
- Malignant neoplasm of sigmoid colon
Clinical Validation Requirements
- Pathology report confirming tubular adenoma
- Colonoscopy findings
Coding Notes
Ensure documentation specifies 'tubular adenoma' and location.
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
Z12.11Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Polyp of colon
K63.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tubular Adenoma 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: Leads to misdiagnosis or inappropriate follow-up., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims due to insufficient documentation.
Mitigation Strategy
Use specific terminology in reports, Confirm histology before finalizing code
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure pathology confirms adenomatous nature before coding.
Impact
Using Z12.11 for diagnostic procedures.
Mitigation Strategy
Verify indication for procedure 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 Tubular Adenoma of Colon, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tubular Adenoma of Colon
Use these documentation templates to ensure complete and accurate documentation for Tubular Adenoma of Colon. These templates include all required elements for proper coding and billing.
Screening colonoscopy with tubular adenoma
Specialty: GastroenterologyRequired Elements
- Indication for procedure
- Findings during colonoscopy
- Pathology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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