ICD-10 Code D12.6 | Benign neoplasm of colon, unspecified Symptoms, Diagnosis, Billing

Benign neoplasm of the colon, unspecified, refers to a non-cancerous tumor located in the colon. These neoplasms can arise from various cell types and may present with symptoms such as abdominal pain or changes in bowel habits. Accurate coding with ICD-10 Code D12.6 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage these conditions effectively.

What is ICD-10 Code D12.6 for Benign neoplasm of colon, unspecified?

ICD-10 Code D12.6 represents a benign neoplasm located in the colon, where the specific type of neoplasm is not further specified. This code is used when a patient presents with a non-cancerous tumor in the colon, which may require monitoring or intervention. It is important for clinical documentation and billing to accurately reflect the diagnosis to ensure appropriate care and reimbursement.

ICD-10 Code D12.6 – Clinical Definition and Explanation of Benign neoplasm of colon, unspecified

Benign neoplasms of the colon are non-malignant growths that can arise from various tissues within the colon. While often asymptomatic, they may lead to complications such as obstruction or bleeding, necessitating medical evaluation. Prompt diagnosis and management are crucial to prevent potential complications.

Key Clinical Features:

• Asymptomatic in many cases, but may present with abdominal discomfort.
• Potential for obstruction or bleeding if the neoplasm grows large.
• Typically diagnosed through imaging studies or colonoscopy.
• More common in adults, with varying prevalence based on age and risk factors.

ICD-10 Code D12.6 for Benign neoplasm of colon, unspecified – SOAP Notes & Clinical Use

ICD-10 Code D12.6 is utilized in SOAP notes to document the presence of a benign neoplasm in the colon. It plays a critical role in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D12.6 for Benign neoplasm of colon, unspecified Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D12.6 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a benign colon neoplasm. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D12.6 – Benign neoplasm of colon, unspecified

Management of benign neoplasms of the colon may vary based on symptoms and size. While surgical intervention may be necessary in some cases, many patients can be monitored without immediate treatment.

Antibiotic Therapy:

Supportive Care:

• Regular monitoring through colonoscopy to assess growth.
• Symptomatic treatment for abdominal pain or discomfort.
• Dietary modifications to manage bowel habits.

Infection Control:

How to Document Symptoms of Benign neoplasm of colon, unspecified (ICD-10 D12.6) in SOAP Notes

Subjective:

• Patient reports intermittent abdominal pain.
• No significant changes in bowel habits noted.
• History of benign polyps in the past.
• No weight loss or rectal bleeding reported.

Objective:

• Abdominal examination reveals mild tenderness in the left lower quadrant.
• No palpable masses detected on physical examination.
• Colonoscopy findings indicate a benign neoplasm.
• Vital signs within normal limits.

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SOAP Note Guidelines for Diagnosing Benign neoplasm of colon, unspecified (ICD-10 Code D12.6)

Assessment:

• Diagnosis: Benign neoplasm of colon, unspecified (ICD-10 D12.6).
• Severity: Mild, asymptomatic at present.
• Contributing factors: History of polyps.
• No evidence of malignancy noted.

Plan:

• Schedule follow-up colonoscopy in 1 year for monitoring.
• Educate patient on dietary changes to alleviate symptoms.
• Advise on signs of complications to report immediately.
• Document findings and update EHR accordingly.

Treatment & Plan Section for ICD-10 Code D12.6 – Benign neoplasm of colon, unspecified

• Consider surgical removal if the neoplasm causes obstruction or significant symptoms.
• Regular surveillance colonoscopy to monitor for changes.
• Patient education on dietary management and symptom monitoring.
• Follow-up appointments to assess for any new symptoms or changes.

Using ICD-10 Code D12.6 for Benign neoplasm of colon, unspecified in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings in the Subjective (S) and Objective (O) sections.
• Use the code in conjunction with relevant CPT codes for procedures performed.
• Maintain compliance with clinical guidelines to support billing justification.
• Document any changes in the patient's condition during follow-up visits.

Related ICD-10 Codes Often Used with Benign neoplasm of colon, unspecified

• D12.0 – Benign neoplasm of cecum
• D12.1 – Benign neoplasm of appendix
• D12.2 – Benign neoplasm of ascending colon
• D12.3 – Benign neoplasm of transverse colon
• D12.4 – Benign neoplasm of descending colon

ICD-10 Code D12.6 in Medical Billing and Insurance for Benign neoplasm of colon, unspecified

ICD-10 Code D12.6 is crucial for billing purposes in hospital, ER, or outpatient settings, ensuring accurate representation of the patient's diagnosis.

Billing Notes:

• Document all relevant clinical findings to support the use of this code.
• Use in conjunction with procedure codes for any interventions performed.
• Ensure that the diagnosis is clearly linked to the patient's presenting symptoms.
• Review coding guidelines to maintain compliance with payer requirements.

Common CPT Pairings: