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Icd 10 code for personal history of colon polyps As i understand it, per the icd 10 guidelines, we should be billing z09 as primary and z86.010 secondary on claim. It is used to refer to a personal history of colonic polyps when a patient has previously had colonic polyps identified during an examination, such as a colonoscopy.
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If a patient has a screening, but a polyp is removed, you’d code 45385 (colonoscopy, flexible When billing a high risk screening colonoscopy for personal history of colon polyps (z86.010), do you bill z09 or z12.11 as primary dx With the removal of tumor (s), polyp (s), or another lesion (s) by snare technique) and append modifier pt.
To report a screening colonoscopy on a patient not considered high risk for colorectal cancer, use hcpcs code g0121 and diagnosis code z12
11 (encounter for screening for malignant neoplasm of the colon) If the procedure stays screening, use code g0121. Includes clinical validation requirements, documentation requirements, and coding pitfalls
