MCMedicalCodingSoftware
Z12.12

Z12.12: Encounter for screening for malignant neoplasm of rectum

Billable / specific codeICD-10-CMPOA exempt

Z12.12 is a billable, specific ICD-10-CM code for encounter for screening for malignant neoplasm of rectum. It is valid for submission on a claim.

Check Z12.12 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Z12.12

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

Z12.12 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57427Billing and Coding: Transrectal Ultrasound

Alphabetic index entries that lead here

  • Screening›neoplasm›rectum
  • Screening›neoplasm›intestinal tract›rectum

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z12.1

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.