ICD-10 Coding for Tubular Adenoma(D12.0, D12.2)
Complete ICD-10-CM coding and documentation guide for Tubular Adenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tubular Adenoma
D12.0-D12.9Primary Range
Benign neoplasm of colon, rectum, anus, and anal canal
This range includes site-specific codes for benign neoplasms such as tubular adenomas in various parts 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 tubular adenoma is identified in the cecum. |
|
| D12.2 | Benign neoplasm of ascending colon | Use when a tubular adenoma is identified 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 tubular adenoma
Essential facts and insights about Tubular Adenoma
Primary ICD-10-CM Codes for tubular adenoma
Decision Criteria
clinical Criteria
- Confirmed tubular adenoma in cecum via pathology
Applicable To
- Tubular adenoma of cecum
Excludes
- Malignant neoplasm of cecum (C18.0)
Clinical Validation Requirements
- Pathology report confirming tubular adenoma
- Colonoscopy findings indicating adenomatous polyp
Code-Specific Risks
- Misclassification as hyperplastic polyp
Coding Notes
- Ensure site specificity is documented.
D12.2 - Benign neoplasm of ascending colon
Use when a tubular adenoma is identified in the ascending colon.
Applicable To
- Tubular adenoma of ascending colon
Excludes
- Malignant neoplasm of ascending colon (C18.2)
Clinical Validation Requirements
- Pathology report confirming tubular adenoma
- Colonoscopy findings indicating adenomatous polyp
Coding Notes
Ensure site specificity is documented.
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 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 coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'tubular adenoma'., Document exact location and size.
Impact
Reimbursement: Incorrect coding can lead to improper reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Verify pathology reports to confirm adenomatous nature before coding.
Impact
Misclassification of polyps as adenomatous without confirmation.
Mitigation Strategy
Require pathology confirmation 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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tubular Adenoma
Use these documentation templates to ensure complete and accurate documentation for Tubular Adenoma. These templates include all required elements for proper coding and billing.
Colonoscopy with polypectomy
Specialty: GastroenterologyRequired Elements
- Procedure details
- Polyp size and location
- Pathology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Tubular Adenoma? Ask your questions below.