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v1.0.0
ICD-10 Guide
ICD-10 CodesD12.2

D12.2

Billable

Benign neoplasm of ascending colon

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D12.2 is a billable code used to indicate a diagnosis of benign neoplasm of ascending colon.

Key Diagnostic Point:

A benign neoplasm of the ascending colon refers to a non-cancerous tumor that arises in the ascending segment of the large intestine. These neoplasms can include adenomas, hyperplastic polyps, and other types of growths that do not exhibit malignant characteristics. While benign, these neoplasms can still pose clinical concerns, particularly if they lead to obstruction, bleeding, or other gastrointestinal symptoms. Surveillance is often recommended, as certain types of benign neoplasms, particularly adenomatous polyps, have the potential to progress to colorectal cancer over time. Regular colonoscopic evaluations are essential for monitoring these lesions, especially in patients with a history of polyps or familial predisposition to colorectal cancer. The management of benign neoplasms typically involves surveillance and, in some cases, surgical intervention if the neoplasm is symptomatic or shows signs of dysplasia. Accurate coding of D12.2 is crucial for appropriate patient management and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Understanding the specific type of benign neoplasm
  • Documentation of surveillance and follow-up procedures
  • Potential for progression to malignancy requiring careful monitoring

Audit Risk Factors

  • Inadequate documentation of the benign nature of the neoplasm
  • Failure to document surveillance plans or follow-up procedures
  • Misclassification of benign neoplasms as malignant
  • Lack of clarity in the type of neoplasm present

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed reports of colonoscopy findings, biopsy results, and follow-up plans.

Common Clinical Scenarios

Patients presenting with abdominal pain, rectal bleeding, or incidental findings during screening colonoscopy.

Billing Considerations

Documentation should clearly indicate the type of neoplasm and any associated symptoms or interventions.

Surgery

Documentation Requirements

Operative reports detailing the excision of neoplasms, pathology reports, and post-operative follow-up.

Common Clinical Scenarios

Patients undergoing surgical resection of benign neoplasms due to obstruction or symptomatic presentation.

Billing Considerations

Ensure that the surgical indication and pathology findings are well-documented to support coding.

Coding Guidelines

Inclusion Criteria

Use D12.2 When
  • According to ICD
  • CM guidelines, D12
  • 2 should be used when a benign neoplasm of the ascending colon is confirmed through diagnostic imaging or biopsy
  • It is important to document the specific type of neoplasm and any relevant clinical findings

Exclusion Criteria

Do NOT use D12.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

45378CPT Code

Colonoscopy, flexible, diagnostic

Clinical Scenario

Used for surveillance of benign neoplasms in the ascending colon.

Documentation Requirements

Document findings, any biopsies taken, and follow-up recommendations.

Specialty Considerations

Gastroenterologists should ensure that the indication for the procedure is clearly stated.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better tracking of surveillance needs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better tracking of surveillance needs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better tracking of surveillance needs.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding D12.2?

Coding D12.2 accurately reflects the presence of a benign neoplasm in the ascending colon, which is crucial for appropriate management and surveillance. It helps in tracking the patient's condition and ensuring that necessary follow-up care is provided.