Internal Medicine Coding Alert

ICD-10: Personal History of Colon Cancer: From V codes to Z-series Code

- Published on Mon, Jun 11, 2012

Code descriptor may not change when ICD-10 kicks off.

A personal history of colon cancer can significantly impact a patient's risk for future disease, so be sure you're up-to-date on how to accurately capture the history with diagnosis codes.

Under ICD-9, you currently code personal history of colorectal cancer with a single code: V10.05 (Personal history of malignant neoplasm of large intestine).

ICD-10 difference: When ICD-9-CM shifts to ICD-10-CM, code V10.05 will change to Z85.038 (Personal history of other malignant neoplasm of large intestine). The code will retain the same descriptor -- except for the word "other" added in ICD-10. The word "other" helps distinguish Z85.038 from Z85.030 (Personal history of malignant carcinoid tumor of large intestine).

Documentation: According to ICD-10-CM, diagnosis Z85.038 is applicable to conditions that fall under parent code C18 (Malignant neoplasm of colon). More detailed options in the code family include:

  • C18.0 -- Malignant neoplasm of cecum
  • C18.1 -- Malignant neoplasm of appendix
  • C18.2 -- [...]

Internal Medicine Coding Alert
Issue - Jun, 2012
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