ICD Code D12.6

ICD code D12.6 is used to identify a benign (non-cancerous) tumor located in the colon, but it does not specify the exact location within the colon. This code is part of the International Classification of Diseases (ICD) system, which is used for coding various diagnoses and conditions in healthcare settings.

When considering the use of the ICD code for a benign neoplasm of the colon, unspecified, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Presence of a Neoplasm: Identification of a growth or mass within the colon that is determined to be non-cancerous through diagnostic imaging or biopsy.

2. Colonoscopy Findings: Detection of polyps or other benign lesions during a colonoscopy that are not clearly defined as malignant.

3. Histopathological Examination: Confirmation through histopathological analysis that the neoplasm is benign, with no evidence of malignant cells.

4. Patient Symptoms: Evaluation of symptoms such as abdominal pain, changes in bowel habits, or rectal bleeding that may prompt further investigation into the presence of a neoplasm.

5. Family History: Consideration of a family history of colon polyps or benign neoplasms, which may increase the likelihood of similar findings in the patient.

6. Follow-Up and Monitoring: Use of the code when ongoing monitoring is required for a previously identified benign neoplasm to ensure it does not progress or cause complications.

7. Exclusion of Other Conditions: Ruling out other gastrointestinal conditions or diseases that could present with similar symptoms or findings.

By adhering to these criteria, healthcare providers can ensure accurate and appropriate use of the ICD code for benign neoplasm of the colon, unspecified, facilitating effective communication and management within the healthcare revenue cycle.

For the ICD code D12.6, which pertains to a benign neoplasm of the colon, unspecified, the relevant CPT codes that may be applicable for treatment or procedures include:

1. 45378 - Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure).

2. 45380 - Colonoscopy, flexible; with biopsy, single or multiple.

3. 45381 - Colonoscopy, flexible; with directed submucosal injection(s), any substance.

4. 45382 - Colonoscopy, flexible; with control of bleeding, any method.

5. 45383 - Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique.

6. 45384 - Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery.

7. 45385 - Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.

These CPT codes are commonly used for procedures related to the diagnosis and treatment of conditions associated with the ICD code D12.6. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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