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v1.0.0
ICD-10 Guide
DiagnosesHemicolectomy

Hemicolectomy

ICD-10 Coding for Hemicolectomy(0DTF0ZZ, 0DTF4ZZ)

PRIMARY SPECIALTYGeneral Surgery
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hemicolectomy?
Essential facts and insights about Hemicolectomy

Key Clinical Considerations:

  • Abdominal pain, changes in bowel habits, weight loss
  • Colonoscopy, imaging studies (CT scan, MRI), biopsy results
  • Tenderness in the abdomen, palpable mass, signs of obstruction

Clinical Information

Clinical Criteria & Documentation Requirements

  • Operative report, pre-operative assessment, post-operative notes
  • ICD-10-PCS terminology for procedures, CPT codes for surgical services
  • Example: 'Patient underwent a laparoscopic hemicolectomy for colon cancer.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding complications, avoid unbundling services
  • Common errors include incorrect coding of the procedure site or type

Code Exclusions

Important Exclusions

  • Ileostomy, colostomy procedures, conditions unrelated to colon pathology
  • Alternative codes for other gastrointestinal surgeries

Related ICD-10 Codes

Primary Codes
Z90.2
Acquired absence of the colon
C18.9
Malignant neoplasm of colon, unspecified
Ancillary Codes
30393-00
Differential Codes
0DTF4ZZ
0DTF0ZZ

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

General Surgery

Specialty Applications

  • Adults with colorectal diseases, patients undergoing cancer treatment
  • Inpatient and outpatient surgical settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed operative notes, indication for surgery, and post-operative care.

Billing considerations?

Ensure correct CPT codes are used for the procedure and any associated services.