2022 ICD-10-CM Code Z12

Encounter for screening for malignant neoplasms

Version 2021

Not Valid for Submission

ICD-10:Z12
Short Description:Encounter for screening for malignant neoplasms
Long Description:Encounter for screening for malignant neoplasms

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services for examinations (Z00-Z13)
      • Encounter for screening for malignant neoplasms (Z12)

Z12 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of encounter for screening for malignant neoplasms. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Encounter for screening for malignant neoplasms

Non-specific codes like Z12 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for encounter for screening for malignant neoplasms:

  • BILLABLE CODE - Use Z12.0 for Encounter for screening for malignant neoplasm of stomach
  • NON-BILLABLE CODE - Z12.1 for Encounter for screening for malignant neoplasm of intestinal tract
  • BILLABLE CODE - Use Z12.10 for Encounter for screening for malignant neoplasm of intestinal tract, unspecified
  • BILLABLE CODE - Use Z12.11 for Encounter for screening for malignant neoplasm of colon
  • BILLABLE CODE - Use Z12.12 for Encounter for screening for malignant neoplasm of rectum
  • BILLABLE CODE - Use Z12.13 for Encounter for screening for malignant neoplasm of small intestine
  • BILLABLE CODE - Use Z12.2 for Encounter for screening for malignant neoplasm of respiratory organs
  • NON-BILLABLE CODE - Z12.3 for Encounter for screening for malignant neoplasm of breast
  • BILLABLE CODE - Use Z12.31 for Encounter for screening mammogram for malignant neoplasm of breast
  • BILLABLE CODE - Use Z12.39 for Encounter for other screening for malignant neoplasm of breast
  • BILLABLE CODE - Use Z12.4 for Encounter for screening for malignant neoplasm of cervix
  • BILLABLE CODE - Use Z12.5 for Encounter for screening for malignant neoplasm of prostate
  • BILLABLE CODE - Use Z12.6 for Encounter for screening for malignant neoplasm of bladder
  • NON-BILLABLE CODE - Z12.7 for Encounter for screening for malignant neoplasm of other genitourinary organs
  • BILLABLE CODE - Use Z12.71 for Encounter for screening for malignant neoplasm of testis
  • BILLABLE CODE - Use Z12.72 for Encounter for screening for malignant neoplasm of vagina
  • BILLABLE CODE - Use Z12.73 for Encounter for screening for malignant neoplasm of ovary
  • BILLABLE CODE - Use Z12.79 for Encounter for screening for malignant neoplasm of other genitourinary organs
  • NON-BILLABLE CODE - Z12.8 for Encounter for screening for malignant neoplasm of other sites
  • BILLABLE CODE - Use Z12.81 for Encounter for screening for malignant neoplasm of oral cavity
  • BILLABLE CODE - Use Z12.82 for Encounter for screening for malignant neoplasm of nervous system
  • BILLABLE CODE - Use Z12.83 for Encounter for screening for malignant neoplasm of skin
  • BILLABLE CODE - Use Z12.89 for Encounter for screening for malignant neoplasm of other sites
  • BILLABLE CODE - Use Z12.9 for Encounter for screening for malignant neoplasm, site unspecified

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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z12:


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.

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

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.

Information for Patients


Health Screening

Screenings are tests that look for diseases before you have symptoms. Screening tests can find diseases early, when they're easier to treat. You can get some screenings in your doctor's office. Others need special equipment, so you may need to go to a different office or clinic.

Some conditions that doctors commonly screen for include

Which tests you need depends on your age, your sex, your family history, and whether you have risk factors for certain diseases. After a screening test, ask when you will get the results and whom to talk to about them.

Agency for Healthcare Research and Quality


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)