ICD-10 Codes to Report
Colon Polyps
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A colon polyp is a clump of cells that form on the lining of the colon (large intestine) or rectum. Though usually harmless, it can develop into colon cancer. Colon polyps can develop in anyone but people who are 50 or older are at a higher risk. Colorectal cancer screening and removal of polyps in the early stages can reduce risk of colorectal cancer. Five common types of polyps are: inflammatory, hyperplastic, adenomatous, villous and serrated. Gastroenterologists and surgical oncologists treating the condition can rely on outsourced billing services to submit error-free claims. ICD-10 Codes for Colon Polyps For correctly assigning the diagnosis code, the documentation should specify the exact location of the polyps and the type of polyps. Benign adenomatous polyp of the colon • • • • • • • • •
D12.0 Benign neoplasm of cecum D12.1 Benign neoplasm of appendix D12.2 Benign neoplasm of ascending colon D12.3 Benign neoplasm of transverse colon D12.4 Benign neoplasm of descending colon D12.5 Benign neoplasm of sigmoid colon D12.6 Benign neoplasm of colon, unspecified (includes adenomatous polyp of colon and polyposis of colon) D12.7 Benign neoplasm of rectosigmoid junction D12.8 Benign neoplasm of the rectum
Inflammatory Polyps • • • • • •
K51.40 Inflammatory polyps of colon without complications K51.411 Inflammatory polyps of colon with rectal bleeding K51.412 Inflammatory polyps of colon with intestinal obstruction K51.413 Inflammatory polyps of colon with fistula K51.414 Inflammatory polyps of colon with abscess K51.418 Inflammatory polyps of colon with other complication
Codes to Report other Polyps: • • •
K63.5 polyp of colon K62.1 Rectal polyp Z83.71 Family history of colonic polyps
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Malignant Neoplasm(s) • • •
C18 Malignant neoplasm of colon C19 Malignant neoplasm of rectosigmoid junction C20 Malignant neoplasm of rectum
Symptoms of colon polyps include bleeding from the rectum, constipation or diarrhea that lasts for more than a week, abdominal pain and iron deficiency anemia. Diagnosis methods include colonoscopy, sigmoidoscopy, computerized tomography (CT) scan, and stool tests. As physicians focus on ensuring high-quality patient care, they can rely on experienced medical billing and coding companies to ensure accurate code assignment and error-free claim submission.
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