ICD-10-CM Code D12.9

Valid for Submission

D12.9 is a billable code used to specify a medical diagnosis of benign neoplasm of anus and anal canal. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code D12.9 might also be used to specify conditions or terms like anorectal tubulovillous adenoma, benign neoplasm of anal canal, benign neoplasm of anal canal, benign neoplasm of anus, benign neoplasm of anus, benign neoplasm of rectum and anal canal, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: anorectum, anorectal (junction) ; anus, anal ; anus, anal canal ; anus, anal cloacogenic zone ; anus, anal sphincter ; canal ; canal anal ; etc

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D12.9:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

• Benign neoplasm of anus NOS

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

• benign neoplasm of anal margin D22.5 D23.5
• benign neoplasm of anal skin D22.5 D23.5
• benign neoplasm of perianal skin D22.5 D23.5

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Anorectal tubulovillous adenoma
• Benign neoplasm of anal canal
• Benign neoplasm of anal canal
• Benign neoplasm of anus
• Benign neoplasm of anus
• Benign neoplasm of rectum and anal canal

Diagnostic Related Groups

The ICD-10 code D12.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.

• 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
• 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
• 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert D12.9 to ICD-9

• 211.4 - Benign neopl rectum/anus (Approximate Flag)

Code Classification

• Neoplasms (C00–D48)
  • Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
    • Benign neoplasm of colon, rectum, anus and anal canal (D12)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

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• Convert D12.9 to ICD-9