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v1.0.0
ICD-10 Guide
DiagnosesTubular Adenoma Of Colon

Tubular Adenoma Of Colon

ICD-10 Coding for Tubular Adenoma of Colon(D12.0, D12.5)

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

Diagnosis Overview

What is Tubular Adenoma Of Colon?
Essential facts and insights about Tubular Adenoma of Colon

Key Clinical Considerations:

  • Asymptomatic or mild abdominal discomfort
  • Colonoscopy findings of polypoid lesions
  • Possible iron deficiency anemia on physical exam

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including symptoms and family history of colorectal cancer
  • Detailed description of polyp size, location, and histology
  • Use of terms like 'tubular adenoma' and 'adenomatous polyp'

Coding Guidelines

Usage Guidelines & Examples

  • Ensure correct differentiation between tubular adenoma and other types of polyps.
  • Common errors include misclassifying adenomas as malignant.

Code Exclusions

Important Exclusions

  • Malignant neoplasms of the colon.
  • Hyperplastic polyps and sessile serrated adenomas.

Related ICD-10 Codes

Primary Codes
D12.6
Benign neoplasm of colon, unspecified
D12.0
Benign neoplasm of cecum
D12.1
Benign neoplasm of appendix
Ancillary Codes
Z12.11
Differential Codes
K63.5

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Adults aged 50 and older, especially those with a family history of colorectal cancer.
  • Outpatient gastroenterology clinics and inpatient 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 descriptions of the adenoma, size, and histological findings.

Billing considerations?

Ensure correct ICD-10 codes are used and document any related procedures performed.