ICD-10 Coding for Family History of Colon Cancer(Z80.0, Z83.71)
Complete ICD-10-CM coding and documentation guide for Family History of Colon Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Family History of Colon Cancer
Z80-Z84Primary Range
Family history of primary malignant neoplasms
This range includes codes for family history of cancer, specifically Z80.0 for digestive organs.
Family history of other specific disorders
This range includes codes for family history of colon polyps, relevant for differentiating from cancer history.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z80.0 | Family history of malignant neoplasm of digestive organs | Use when documenting a family history of colon cancer, especially for screening purposes. |
|
| Z83.71 | Family history of colonic polyps | Use when documenting a family history of colonic polyps, not cancer. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for family history of colon cancer
Essential facts and insights about Family History of Colon Cancer
Primary ICD-10-CM Codes for family history of colon cancer
Decision Criteria
clinical Criteria
- First-degree relative with colon cancer diagnosed before age 60
documentation Criteria
- Lack of specific relative details
Applicable To
- Family history of colon cancer
- Family history of colorectal cancer
Clinical Validation Requirements
- Documentation of first or second-degree relative with colon cancer
- Age at diagnosis of the relative
Code-Specific Risks
- Incorrectly using for family history of polyps instead of cancer
Coding Notes
- Ensure documentation specifies the degree of relation and age at diagnosis.
Z83.71 - Family history of colonic polyps
Use when documenting a family history of colonic polyps, not cancer.
Applicable To
- Family history of adenomatous polyps
- Family history of hyperplastic polyps
Excludes
- Family history of colon cancer (Z80.0)
Clinical Validation Requirements
- Documentation of relative with specific type of colonic polyps
- Type of polyp (adenomatous, hyperplastic)
Coding Notes
Specify the type of polyp in documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Family History of Colon Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z80.0.
Impact
Clinical: May lead to inappropriate screening intervals., Regulatory: Potential audit issues due to lack of specificity., Financial: Denial of claims for preventive services.
Mitigation Strategy
Use structured templates for family history documentation., Educate staff on importance of detailed family history.
Impact
Reimbursement: Incorrect coding can lead to denied claims for screenings., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records affecting clinical decisions.
Mitigation Strategy
Use Z83.71 for polyps and Z80.0 for cancer.
Impact
Inadequate documentation of family history details.
Mitigation Strategy
Implement EHR templates that prompt for specific details.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Family History of Colon Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Family History of Colon Cancer
Use these documentation templates to ensure complete and accurate documentation for Family History of Colon Cancer. These templates include all required elements for proper coding and billing.
Family history of colon cancer in a first-degree relative
Specialty: GastroenterologyRequired Elements
- Degree of relation
- Age at diagnosis
- Type of cancer
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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