Quality Payment Program Measure · Medicare QPP 1 Codes

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients ICD-10-CM

The quality measure Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients can apply to an encounter when one of 1 linked ICD-10-CM diagnosis codes appears on the claim. CMS designates it a high-priority measure, which MIPS scoring rewards. The full linked-code list is below, with billable status and each code's place in the tabular index.

✓ Built from CMS Quality Payment Program specificationsFY 2026 ICD-10-CM code set
1
Linked Codes
1
Billable
Yes
High Priority
FY 2026
Code Set
QPP

About This Measure

Percentage of patients aged 45 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report.

Submission methods

Claims,registry
ICD-10-CM

Linked ICD-10-CM Codes 1 codes · 1 billable

1 of 1 shown
CodeDescriptionCategory
Z12.11Encounter for screening for malignant neoplasm of colon Encounter for screening for malignant neoplasms (Z12)

Related References

Source: Centers for Medicare & Medicaid Services, Quality Payment Program measure specifications, with linked codes validated against the official FY 2026 ICD-10-CM code set.