D12
D12 — Benign neoplasm of colon, rectum, anus and anal canal
Non-billable headerICD-10-CM
D12 is a non-billable header ICD-10-CM code for benign neoplasm of colon, rectum, anus and anal canal. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- benign carcinoid tumors of the large intestine and rectum (D3A.02-)
- polyp of colon NOS (K63.5)
Other codes that can never be billed with D12
These codes carry an Excludes1 note pointing at D12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D12 alone.
Risk adjustment
D12 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead D12
10 child codes. Green means billable.
- D12.0Benign neoplasm of cecum
- D12.1Benign neoplasm of appendix
- D12.2Benign neoplasm of ascending colon
- D12.3Benign neoplasm of transverse colon
- D12.4Benign neoplasm of descending colon
- D12.5Benign neoplasm of sigmoid colon
- D12.6Benign neoplasm of colon, unspecified
- D12.7Benign neoplasm of rectosigmoid junction
- D12.8Benign neoplasm of rectum
- D12.9Benign neoplasm of anus and anal canal
Questions about D12
- Is D12 a billable ICD-10-CM code?
- No. D12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D12 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).