D12.6

D12.6: Benign neoplasm of colon, unspecified

Billable / specific codeICD-10-CM

D12.6 is a billable, specific ICD-10-CM code for benign neoplasm of colon, unspecified. It is valid for submission on a claim.

Check D12.6 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

inflammatory polyp of colon (K51.4-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Adenomatosis of colon
Benign neoplasm of large intestine NOS
Polyposis (hereditary) of colon

Excludes2 inherited from the categories above D12.6

Not part of this code, but both may be coded when both are present.

Written on D12: Benign neoplasm of colon, rectum, anus and anal canal

benign carcinoid tumors of the large intestine and rectum (D3A.02-)
polyp of colon NOS (K63.5)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D12.6 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

Adenomatosis›unspecified site
Dysplasia›colon
Dysplasia›high grade, focal
Polyposis›coli
Polyposis›colon
Polyposis›familial
Polyposis›intestinal
Polyp, polypus›cecum›adenomatous
Polyp, polypus›colon›adenomatous

Code history

Unchanged in every release from FY2024 to FY2027.