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 CodesD12.0

D12.0

Billable

Benign neoplasm of cecum

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

Code Description

ICD-10 D12.0 is a billable code used to indicate a diagnosis of benign neoplasm of cecum.

Key Diagnostic Point:

A benign neoplasm of the cecum refers to a non-cancerous tumor located in the cecum, which is the first part of the large intestine. These neoplasms can vary in size and may be asymptomatic or present with symptoms such as abdominal pain, changes in bowel habits, or obstruction. Common types of benign neoplasms in this area include adenomatous polyps, hyperplastic polyps, and lipomas. While benign, these neoplasms require careful monitoring due to their potential for malignant transformation, particularly adenomatous polyps, which can progress to colorectal cancer if left untreated. Surveillance colonoscopy is often recommended for patients with a history of polyps to detect any changes early. The management of benign neoplasms typically involves regular follow-up and, in some cases, surgical intervention if the neoplasm is symptomatic or shows signs of dysplasia. Accurate coding of this condition is crucial for appropriate patient management and resource allocation in healthcare settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Understanding the specific type of benign neoplasm
  • Monitoring guidelines for potential malignant transformation
  • Documentation of symptoms and clinical findings

Audit Risk Factors

  • Inadequate documentation of the type of neoplasm
  • Failure to document surveillance recommendations
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up notes in patient records

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed descriptions of the neoplasm type, size, and any symptoms.

Common Clinical Scenarios

Patients presenting with abdominal pain or incidental findings on imaging.

Billing Considerations

Ensure documentation includes surveillance recommendations and follow-up plans.

Surgery

Documentation Requirements

Operative reports detailing the excision of the neoplasm and histopathology results.

Common Clinical Scenarios

Surgical intervention for symptomatic benign neoplasms.

Billing Considerations

Document the rationale for surgery and any findings during the procedure.

Coding Guidelines

Inclusion Criteria

Use D12.0 When
  • According to ICD
  • CM guidelines, D12
  • 0 should be used when a benign neoplasm of the cecum is confirmed through imaging or biopsy
  • It is important to document the specific type of neoplasm and any relevant symptoms

Exclusion Criteria

Do NOT use D12.0 When
  • Exclusion criteria include any documented malignancy or conditions that do not specifically pertain to benign neoplasms

Related ICD-10 Codes

Related CPT Codes

45378CPT Code

Colonoscopy, flexible, diagnostic

Clinical Scenario

Used for surveillance of known benign neoplasms.

Documentation Requirements

Document findings, size, and type of neoplasm.

Specialty Considerations

Gastroenterologists should ensure thorough documentation of surveillance protocols.

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 management strategies. D12.0 provides a clear distinction from malignant codes, which is crucial for treatment planning and insurance reimbursement.

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 management strategies. D12.0 provides a clear distinction from malignant codes, which is crucial for treatment planning and insurance reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 D12.0 accurately?

Accurate coding of D12.0 is essential for proper patient management, ensuring that patients receive appropriate surveillance and treatment for benign neoplasms, and for accurate billing and reimbursement.