ICD-10-CM Code Z12

Encounter for screening for malignant neoplasms

Version 2020 Non-Billable Code

Not Valid for Submission

Z12 is a "header" nonspecific and non-billable 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 valid for the year 2020 for the submission of HIPAA-covered transactions.

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

Consider the following ICD-10 codes with a higher level of specificity:

  • Z12.0 - Encounter for screening for malignant neoplasm of stomach
  • Z12.1 - Encounter for screening for malignant neoplasm of intestinal tract
  • Z12.10 - Encounter for screening for malignant neoplasm of intestinal tract, unspecified
  • Z12.11 - Encounter for screening for malignant neoplasm of colon
  • Z12.12 - Encounter for screening for malignant neoplasm of rectum
  • Z12.13 - Encounter for screening for malignant neoplasm of small intestine
  • Z12.2 - Encounter for screening for malignant neoplasm of respiratory organs
  • Z12.3 - Encounter for screening for malignant neoplasm of breast
  • Z12.31 - Encounter for screening mammogram for malignant neoplasm of breast
  • Z12.39 - Encounter for other screening for malignant neoplasm of breast
  • Z12.4 - Encounter for screening for malignant neoplasm of cervix
  • Z12.5 - Encounter for screening for malignant neoplasm of prostate
  • Z12.6 - Encounter for screening for malignant neoplasm of bladder
  • Z12.7 - Encounter for screening for malignant neoplasm of other genitourinary organs
  • Z12.71 - Encounter for screening for malignant neoplasm of testis
  • Z12.72 - Encounter for screening for malignant neoplasm of vagina
  • Z12.73 - Encounter for screening for malignant neoplasm of ovary
  • Z12.79 - Encounter for screening for malignant neoplasm of other genitourinary organs
  • Z12.8 - Encounter for screening for malignant neoplasm of other sites
  • Z12.81 - Encounter for screening for malignant neoplasm of oral cavity
  • Z12.82 - Encounter for screening for malignant neoplasm of nervous system
  • Z12.83 - Encounter for screening for malignant neoplasm of skin
  • Z12.89 - Encounter for screening for malignant neoplasm of other sites
  • Z12.9 - 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 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.
  • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

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.
  • code to identify any family history of malignant neoplasm Z80

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.
  • encounter for diagnostic examination-code to sign or symptom

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)

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

Information for Patients


Cancer

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute


[Learn More]

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

  • Breast cancer and cervical cancer in women
  • Colorectal cancer
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Osteoporosis
  • Overweight and obesity
  • Prostate cancer in men

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


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