Z86.0101

Z86.0101: Personal history of adenomatous and serrated colon polyps

Billable / specific codeICD-10-CMPOA exempt

Z86.0101 is a billable, specific ICD-10-CM code for personal history of adenomatous and serrated colon polyps. It is valid for submission on a claim.

Check Z86.0101 with the rest of the claim: free scrubber

Inclusion terms

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

Personal history of tubular adenoma polyps
Personal history of sessile adenomatous colon polyp
Personal history of sessile serrated colon polyp
Personal history of tubulovillous adenoma polyps
Personal history of villous adenoma polyps
Personal history of traditional serrated adenoma polyps

Excludes2 inherited from the categories above Z86.0101

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

Written on Z86.0: Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior

personal history of malignant neoplasms (Z85.-)

Risk adjustment

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

Medicare coverage

Z86.0101 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55937Billing and Coding: Diagnostic Colonoscopy
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56612Billing and Coding: CT of the Head

Alphabetic index entries that lead here

History›personal›neoplasm›benign›colon polyp›adenomatous(sessile)
History›personal›neoplasm›benign›colon polyp›serrated(sessile)
History›personal›neoplasm›benign›colon polyp›traditional serrated adenoma
History›personal›neoplasm›benign›colon polyp›tubular adenoma
History›personal›neoplasm›benign›colon polyp›tubulovillous adenoma
History›personal›neoplasm›benign›colon polyp›villous adenoma