ICD-10 Coding for Tubulovillous Adenoma(D12.3, D12.5)
Complete ICD-10-CM coding and documentation guide for Tubulovillous Adenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tubulovillous Adenoma
D12.0-D12.9Primary Range
Benign neoplasm of colon, rectum, anus and anal canal
This range includes codes for benign neoplasms of the colon, including tubulovillous adenomas, based on their specific location.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D12.3 | Benign neoplasm of transverse colon | Use when a tubulovillous adenoma is confirmed in the transverse colon. |
|
| D12.5 | Benign neoplasm of sigmoid colon | Use when a tubulovillous 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 tubulovillous adenoma
Essential facts and insights about Tubulovillous Adenoma
Primary ICD-10-CM Codes for tubulovillous adenoma
Decision Criteria
clinical Criteria
- Confirmed tubulovillous adenoma in transverse colon
documentation Criteria
- Pathology report specifying tubulovillous adenoma
Applicable To
- Tubulovillous adenoma of transverse colon
Excludes
- Malignant neoplasm of transverse colon (C18.4)
Clinical Validation Requirements
- Pathology report confirming tubulovillous adenoma
- Endoscopic findings specifying transverse colon
Code-Specific Risks
- Misclassification if site is not specified
Coding Notes
- Ensure the site of the adenoma is documented to avoid using unspecified codes.
D12.5 - Benign neoplasm of sigmoid colon
Use when a tubulovillous adenoma is confirmed in the sigmoid colon.
Applicable To
- Tubulovillous adenoma of sigmoid colon
Excludes
- Malignant neoplasm of sigmoid colon (C18.7)
Clinical Validation Requirements
- Pathology report confirming tubulovillous adenoma
- Endoscopic findings specifying sigmoid colon
Coding Notes
Ensure the site of the adenoma is documented to avoid using unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of colonic polyps
Z86.010Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tubulovillous Adenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D12.3.
Impact
Clinical: Misleading clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Educate providers on documentation standards, Use templates that prompt for specific details
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records and statistics.
Mitigation Strategy
Use D12.x codes when pathology confirms adenomatous type.
Impact
Risk of using unspecified codes when site is documented.
Mitigation Strategy
Ensure thorough review of pathology and endoscopy reports.
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 Tubulovillous Adenoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tubulovillous Adenoma
Use these documentation templates to ensure complete and accurate documentation for Tubulovillous Adenoma. These templates include all required elements for proper coding and billing.
Colonoscopy with polyp removal
Specialty: GastroenterologyRequired Elements
- Polyp size and location
- Type of adenoma
- Presence of dysplasia
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Tubulovillous Adenoma? Ask your questions below.