Z12.11

Z12.11: Encounter for screening for malignant neoplasm of colon

Billable / specific codeICD-10-CMPOA exempt

Z12.11 is a billable, specific ICD-10-CM code for encounter for screening for malignant neoplasm of colon. It is valid for submission on a claim.

Check Z12.11 with the rest of the claim: free scrubber

Inclusion terms

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

Encounter for screening colonoscopy NOS

Excludes1 inherited from the categories above Z12.11

A category’s note binds every code beneath it.

Written on Z12: Encounter for screening for malignant neoplasms

encounter for diagnostic examination-code to sign or symptom

Risk adjustment

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

Medicare coverage

Z12.11 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55069Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy
A55227Billing and Coding: Incomplete Colonoscopy/Failed Colonoscopy
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56781Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

Encounter›colonoscopy, screening
Screening›colonoscopy
Screening›neoplasm›colon
Screening›neoplasm›intestinal tract›colon

Code history

Unchanged in every release from FY2024 to FY2027.