D12.6 — Benign neoplasm of colon, unspecified
Is D12.6 billable?
Yes, but D12.6 is an unspecified code. D12.6 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, D12.6 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting D12.6 — the more specific alternatives are listed below.
More specific alternatives
- D12.0Benign neoplasm of cecum
- D12.1Benign neoplasm of appendix
- D12.2Benign neoplasm of ascending colon
- D12.3Benign neoplasm of transverse colon
- D12.4Benign neoplasm of descending colon
- D12.5Benign neoplasm of sigmoid colon
- D12.7Benign neoplasm of rectosigmoid junction
- D12.8Benign neoplasm of rectum
- D12.9Benign neoplasm of anus and anal canal
D12.6 at a glance
| Code | D12.6 |
|---|---|
| Description | Benign neoplasm of colon, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D12.6 group to?
D12.6 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 393Other Digestive System Diagnoses with MCCmedical
- 394Other Digestive System Diagnoses with CCmedical
- 395Other Digestive System Diagnoses without CC/MCCmedical
How is D12.6 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D12.6. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Adenomatosis › unspecified site
- Dysplasia › colon
- Dysplasia › high grade, focal
- Polyposis › coli
- Polyposis › colon
- Polyposis › familial
- Polyposis › intestinal
- Polyp, polypus › cecum › adenomatous
- Polyp, polypus › colon › adenomatous
Excludes2 — not included here
The conditions below are not part of D12.6, but a patient may have both at the same time. When documentation supports it, D12.6 and the excluded code may both be reported.
- inflammatory polyp of colon (K51.4-)
Inclusion terms
Alternative wording in documentation that is classified to D12.6.
- Adenomatosis of colon
- Benign neoplasm of large intestine NOS
- Polyposis (hereditary) of colon
Excludes2 — not included here — inherited from D12
The conditions below are not part of D12.6, but a patient may have both at the same time. When documentation supports it, D12.6 and the excluded code may both be reported.
How long has D12.6 existed?
D12.6 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the D12 family? (9)
- D12.0Benign neoplasm of cecum
- D12.1Benign neoplasm of appendix
- D12.2Benign neoplasm of ascending colon
- D12.3Benign neoplasm of transverse colon
- D12.4Benign neoplasm of descending colon
- D12.5Benign neoplasm of sigmoid colon
- D12.7Benign neoplasm of rectosigmoid junction
- D12.8Benign neoplasm of rectum
- D12.9Benign neoplasm of anus and anal canal