![]() ![]() The first listed code is the screening for colon cancer (Z12.11), followed by the code for the polyp (K63.5). For example, during a screening colonoscopy the provider finds and removes a polyp. When the purpose of the encounter is for screening and the provider finds an abnormality, first sequence the code for the screening, followed by any abnormal findings. To locate screening codes, look for Screening in the Alphabetic Index and the subterm for the condition for which the screening occurs. The proper diagnosis code is Z12.11 Encounter for screening for malignant neoplasm of colon. For example, colonoscopies are performed as a screening test for colon cancer when a patient turns 50-years-old. The purpose of preventive medicine is to identify potential health problems before they become severe. There are many screening tests performed to identify problems before a patient starts to exhibit signs or symptoms. ![]() Using the titles of the following Z categories is helpful when locating terms in the Alphabetic Index. Z codes are divided into sixteen categories. The complete list can be found in Section I.C.21.c.16., Z Codes That May Only be Principal/First Listed Diagnosis, in the Official Coding Guidelines. There is a list of all the Z codes that can only be reported as the first listed diagnosis. They can be sequenced as primary or secondary codes. ![]() Z codes can be used in any healthcare setting. A Z code is always the first listed code to report a newborn birth status. Z codes are reported when the patient is not sick and presents for specific care (eg, routine physical, screening mammogram) to report a specific type of care (eg, physical therapy, chemotherapy) or to identify the status of the patient that may affect the management of care (eg, family history of colon cancer). Codes in this chapter are referred to as Z codes. Chapter 21 of ICD-10-CM includes codes reported to identify the reason why the patient is receiving services when a disease or disorder is not the reason the services are rendered. Not all patient encounters are for a problem or condition. ![]()
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