ICD-10 Coding for Family History of Colon Polyps(Z83.710, Z83.711, Z83.719)
Complete ICD-10-CM coding and documentation guide for Family History of Colon Polyps. 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 Polyps
Z83.71Primary Range
Family history of colonic polyps
This range includes codes for family history of different types of colon polyps, which are crucial for determining screening and preventive measures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z83.710 | Family history of adenomatous polyps | Use when a first-degree relative has a documented history of adenomatous or serrated polyps. |
|
| Z83.711 | Family history of hyperplastic polyps | Use when a first-degree relative has a documented history of hyperplastic polyps. |
|
| Z83.719 | Family history of unspecified polyps | Use when the type of polyp in the family history is not specified. |
|
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 polyps
Essential facts and insights about Family History of Colon Polyps
Primary ICD-10-CM Codes for family history of colon polyps
Decision Criteria
documentation Criteria
- Specific polyp type and first-degree relative relationship must be documented.
Applicable To
- Family history of adenomatous polyps
- Family history of serrated polyps
Excludes
- Personal history of adenomatous polyps (Z86.010)
Clinical Validation Requirements
- Documentation of adenomatous or serrated polyp type in a first-degree relative
- Pathology report confirming polyp type
Code-Specific Risks
- Incorrectly coding unspecified polyps as adenomatous without confirmation
Coding Notes
- Ensure documentation specifies the type of polyp and the degree of relation to the patient.
Z83.711 - Family history of hyperplastic polyps
Use when a first-degree relative has a documented history of hyperplastic polyps.
Applicable To
- Family history of hyperplastic polyps
Excludes
- Personal history of hyperplastic polyps (Z86.010)
Clinical Validation Requirements
- Documentation of hyperplastic polyp type in a first-degree relative
- Pathology report confirming polyp type
Coding Notes
Ensure documentation specifies the type of polyp and the degree of relation to the patient.
Z83.719 - Family history of unspecified polyps
Use when the type of polyp in the family history is not specified.
Applicable To
- Family history of polyps, type unspecified
Clinical Validation Requirements
- Documentation of polyps without specified type
Coding Notes
Consider querying for more specific information if possible.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Family history of malignant neoplasm of digestive organs
Z80.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Family History of Colon Polyps to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z83.710.
Impact
Clinical: May lead to inappropriate screening recommendations., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement for high-risk screenings.
Mitigation Strategy
Train staff on the importance of documenting specific polyp types., Implement a checklist for family history documentation.
Impact
Reimbursement: May affect eligibility for high-risk screening procedures., Compliance: Incorrect coding can lead to compliance issues., Data Quality: Reduces accuracy of patient records and data analytics.
Mitigation Strategy
Ensure documentation specifies the polyp type and use the appropriate code (Z83.710 or Z83.711).
Impact
Inadequate documentation of family history can lead to audit findings.
Mitigation Strategy
Ensure all family history entries include specific polyp types and degree of relation.
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 Polyps, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Family History of Colon Polyps
Use these documentation templates to ensure complete and accurate documentation for Family History of Colon Polyps. These templates include all required elements for proper coding and billing.
Documenting family history of colon polyps
Specialty: GastroenterologyRequired Elements
- Degree of relationship (FDR/SDR)
- Specific polyp type
- Age at diagnosis
- Verification method
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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