Question What ICD-10 can used for colonoscopy screenings?

patdow

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Medicare is now denying Z12.12 and Z86.010 which are common codes that are used for colonoscopies. Does anyone know what ICD-10 code to use instead of those Z codes if the patient does not have any other diagnosis?
 

such78

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Medicare is now denying Z12.12 and Z86.010 which are common codes that are used for colonoscopies. Does anyone know what ICD-10 code to use instead of those Z codes if the patient does not have any other diagnosis?

Do you use below codes for Medicare accounts?
G0105Colorectal cancer screening; colonoscopy on individual at high risk
G0121Colorectal cancer screening; colonoscopy on individual not meeting the criteria for high risk


Common diagnosis codes for colorectal cancer screening include:
  • Z12.11 (encounter for screening for malignant neoplasm of colon)
  • Z80.0 (family history of malignant neoplasm of digestive organs)
  • Z86.010 (personal history of colonic polyps)
 

patdow

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Kingwood, TX
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Do you use below codes for Medicare accounts?
G0105Colorectal cancer screening; colonoscopy on individual at high risk
G0121Colorectal cancer screening; colonoscopy on individual not meeting the criteria for high risk


Common diagnosis codes for colorectal cancer screening include:
  • Z12.11 (encounter for screening for malignant neoplasm of colon)
  • Z80.0 (family history of malignant neoplasm of digestive organs)
  • Z86.010 (personal history of colonic polyps)
Thank you for your response. It turns out I was using 45378 because my notes indicated that Z86.010 cannot be used for the G codes. So I have this figured out now. Thank you for your help.
 
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