ICD-10 Coding for History of Colon Cancer(Z85.038, Z80.0)
Complete ICD-10-CM coding and documentation guide for 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 History of Colon Cancer
Z85.03-Z85.038Primary Range
Personal history of malignant neoplasm of digestive organs
This range includes codes for personal history of malignant neoplasms of the colon, which is the primary focus for history of colon cancer.
Family history of primary malignant neoplasm
This range includes codes for family history of malignant neoplasms, relevant for documenting family history of colon cancer.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.038 | Personal history of malignant neoplasm of colon | Use when the patient has completed treatment for colon cancer and there is no current evidence of disease. |
|
| Z80.0 | Family history of malignant neoplasm of digestive organs | Use when documenting a family history of colon 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 history of colon cancer
Essential facts and insights about History of Colon Cancer
Primary ICD-10-CM Codes for history of colon cancer
Decision Criteria
clinical Criteria
- Patient has completed treatment and has no current evidence of disease.
documentation Criteria
- Documentation must explicitly state 'history of colon cancer'.
Applicable To
- History of colon cancer
Excludes
- Active colon cancer (C18.9)
Clinical Validation Requirements
- Documented history of colon cancer treatment completion
- No current evidence of disease
Code-Specific Risks
- Incorrectly coding active cancer as history
Coding Notes
- Ensure documentation clearly states 'history of' to avoid coding errors.
Z80.0 - Family history of malignant neoplasm of digestive organs
Use when documenting a family history of colon cancer.
Applicable To
- Family history of colon cancer
Clinical Validation Requirements
- Documented family history of colon cancer in first-degree relatives
Coding Notes
Ensure the degree of relation is documented.
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 History of Colon Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.038.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or incorrect payments.
Mitigation Strategy
Use clear language in documentation, Regular training for providers on documentation standards
Impact
Reimbursement: Incorrect coding may lead to inappropriate reimbursement rates., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of patient records and data analytics.
Mitigation Strategy
Verify treatment completion and current disease status before coding as history.
Impact
Risk of coding active cancer as history or vice versa.
Mitigation Strategy
Implement regular audits and provider education.
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 History of Colon Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Colon Cancer
Use these documentation templates to ensure complete and accurate documentation for History of Colon Cancer. These templates include all required elements for proper coding and billing.
Oncology Follow-Up
Specialty: OncologyRequired Elements
- Patient history
- Treatment details
- Current surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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