AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Ask the Editor
Hyperplastic Polyp in Descending Colon
What is the correct ICD-10-CM code for hyperplastic polyp of the descending colon, K63.5, Polyp of colon, or D12.4, Benign neoplasm of descending colon? The Alphabetic Index leads all colon polyps that specify location to category D12, Benign neoplasm of colon, rectum, anus and anal canal. Category D12 includes adenomatous polyps. Our understanding is that hyperplastic colon polyps are not neoplasms. ...
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Article Overview
This premium article explains how a documented hyperplastic polyp in the colon is approached within ICD-10-CM, with emphasis on how the Alphabetic Index and related category structure are discussed. It is intended for coding professionals, auditors, and CDI staff who need to compare documentation terminology against ICD-10-CM classification concepts for colon polyps and benign neoplasms. The article also addresses the relevance of documentation wording and the distinction between broad polyp terminology and location-specific neoplasm categories.
Why This Topic Matters
Colon polyp documentation can affect diagnosis coding selection and downstream reporting. This article helps readers understand the coding context for a specific documented polyp type and why terminology used by the provider matters for ICD-10-CM classification.
What You Will Learn
- How the article frames ICD-10-CM classification of a documented hyperplastic colon polyp
- How the ICD-10-CM Alphabetic Index and category structure are discussed in relation to colon polyps
- How provider documentation terminology is considered in the context of colon polyp coding
- The general distinction the article draws between polyp terminology and benign neoplasm category concepts
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Billing and reimbursement staff
Codes Discussed
Code Ranges Discussed
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