ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesZ12.2

Z12.2

Encounter for screening for malignant neoplasm of respiratory organs

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z12.2 is a billable code used to indicate a diagnosis of encounter for screening for malignant neoplasm of respiratory organs.

Key Diagnostic Point:

Z12.2 is used to indicate an encounter for screening for malignant neoplasms of the respiratory organs, including the lungs and bronchial tubes. This code is essential for preventive health measures, as early detection of lung cancer can significantly improve treatment outcomes and survival rates. Factors influencing health status, such as smoking history, occupational exposures, and environmental factors, play a crucial role in determining the need for screening. Social determinants of health, including access to healthcare, socioeconomic status, and education, can affect an individual's likelihood of undergoing screening. Preventive care guidelines recommend routine screenings for high-risk populations, particularly those aged 55-80 with a significant smoking history. Proper documentation of risk factors and screening results is vital for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for thorough documentation of patient history and risk factors
  • Variability in screening guidelines based on age and smoking status
  • Potential for overlapping diagnoses requiring careful differentiation
  • Changes in payer policies regarding preventive screenings

Audit Risk Factors

  • Inadequate documentation of patient risk factors
  • Failure to follow updated screening guidelines
  • Incorrect sequencing with other diagnoses or procedures
  • Lack of supporting documentation for preventive services

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation must include patient history, risk factors, and results of the screening test.

Common Clinical Scenarios

Routine checkups where screening for lung cancer is indicated based on risk factors.

Billing Considerations

Consideration of social determinants such as access to care and patient education on screening importance.

Public Health

Documentation Requirements

Documentation should include population-level data and individual screening outcomes.

Common Clinical Scenarios

Community health initiatives aimed at increasing screening rates among high-risk populations.

Billing Considerations

Focus on tracking health disparities and ensuring equitable access to screening services.

Coding Guidelines

Inclusion Criteria

Use Z12.2 When
  • Z codes are used when a patient is not currently ill but is seeking preventive care
  • 2 should be sequenced appropriately, often as a primary diagnosis when the encounter is solely for screening
  • Payer requirements may vary, so coders should verify specific guidelines for preventive services

Exclusion Criteria

Do NOT use Z12.2 When
No specific exclusions found.

Related CPT Codes

71250CPT Code

Computed tomography, thorax, low dose for lung cancer screening

Clinical Scenario

Used in conjunction with Z12.2 for patients undergoing lung cancer screening.

Documentation Requirements

Documentation must include the reason for the screening and patient eligibility criteria.

Specialty Considerations

Primary care providers should ensure patients meet screening guidelines.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding, enabling better tracking of screening practices and outcomes. Z12.2 provides a clear indication of the purpose of the encounter, which is essential for preventive care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding, enabling better tracking of screening practices and outcomes. Z12.2 provides a clear indication of the purpose of the encounter, which is essential for preventive care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding, enabling better tracking of screening practices and outcomes. Z12.2 provides a clear indication of the purpose of the encounter, which is essential for preventive care.

Resources

Clinical References

  • •
    Lung Cancer Screening Guidelines

Coding & Billing References

  • •
    Lung Cancer Screening Guidelines

Frequently Asked Questions

What documentation is required for Z12.2?

Documentation must include the patient's risk factors, the reason for the screening, and the results of any tests performed. This ensures compliance with preventive care guidelines and supports accurate coding.