Time to Use ICD 10 Code for Screening Colonoscopy for Colon Cancer

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People have debated about screening and diagnostic colonoscopy for a long time. They wonder if one or both are going to affect the reimbursement filing. Many private insurance companies also make arguments whether insurers should pay the coverage within the first six months for the screening procedure. The endless debate here seems rising confusing among of coders as well, since they have to ensure that the use of ICD 10 Code for Screening Colonoscopy for Colon Cancer is appropriate.



It is quite interesting to know that every involved party seems having the different way to interprets the words of screening colonoscopy. It is due many intricacies possibly found when the procedure is taken. Even so, both healthcare providers and insurance companies have the same perspective in seeing the screening colonoscopy as a preventive action.

ICD 10 Code for Screening Colonoscopy for Colon Cancer


An individual can take the screening colonoscopy to detect colon cancer or polyps in the early stage. He is also asymptomatic or having no symptoms before the test, but is still including into patients with high risk. It is important for physicians to also take a look at several affecting factors including age, family history, lifestyle and race. While in a diagnostic colonoscopy, doctors can evaluate the patients’ condition from several symptoms, like rectal bleeding, anemia, diarrhea and abdominal pain.



The patient with those risks should start taking the test at age 50. Once the procedure is done, the coder has to present the results in accurate way based on ICD 10 Code for Screening Colonoscopy for Colon Cancer. The codes will include:


Z12.11 : Encounter for screening for malignant neoplasm of the colon

Z80.0 : Family History of malignant neoplasm of digestive organs

Z86.010: Personal history of colonic polyps.


Sometimes, the purpose of screening procedure has to chance in the middle of the way. It happens when a polyp is found and doctor decides to remove it at once. As the first intention of the test just to screen the colon, the report of ICD 10 Code for Screening Colonoscopy for Colon Cancer must still contain of Z12.11 code.

Then, it can be followed additional code, i.e. D12.0-D12.9 (benign neoplasm of the colon or rectum, based on location) to explain the polyp removal. Make sure to specify the site, be it rectum, anus, sigmoid or descending.

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