What positive cologuard ICD-10 codes can I use?
If you're having trouble looking for positive cologuard ICD codes, that's because there are no ICD-10 codes that specifically mention positive cologuard or even just cologuard in their names. That doesn't mean there aren't any, though!
A cologuard test is a screening test meant to detect colon and rectal cancer, and there are ICD-10 codes for such screening tests in general. There are no ICD-10 codes for positive results, though.
Here are the two ICD-10 codes you're looking for:
Z12.11 - Encounter for screening for malignant neoplasm of colon
This is meant to be used on patients getting screened for malignant neoplasm of the colon. Malignant neoplasm is another term for cancerous tumors. Since cologuard is a screening test that a healthcare professional might suggest, you can use this ICD-10 code.
Z12.12 - Encounter for screening for malignant neoplasm of rectum
This is similar to Item 1, but this time, it's for getting screened for malignant neoplasm of the rectum.
You'll have to use either one or both of these ICD-10 codes as well:
C18.9 - Malignant neoplasm of colon, unspecified
This is meant to be used if your patient is positive for colon cancer.
It has an unspecified label. In this context, the part of the colon that has the cancer is unspecified. Please use a more specific ICD-10 code once the specific location is identified.
C20 - Malignant neoplasm of rectum
This is meant to be used if your patient is positive for rectum cancer.