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C20 vs Z12.12

C20 (Malignant neoplasm of rectum) compared with Z12.12 (Encounter for screening for malignant neoplasm of rectum), from the official CMS tabular data. Z12.12 is the personal-history/screening code for the active disease C20 names. MedCoder-derived

Relationship

Review

Condition lifecycle relationship

Z12.12
Encounter for screening for malignant neoplasm of rectum
C20
Malignant neoplasm of rectum

Personal-history or screening code versus the active disease.

Active disease for this site (rectum)

A personal-history code describes a condition that no longer exists and is no longer being treated, so it is not interchangeable with the active-disease code for the same site.

Source: CMS Table of Neoplasms (site match derived from the code title)

Can these codes be reported together?

History or screening versus active disease. Z12.12 is the personal-history or screening code for the active disease C20 names.

Site match derived from the code’s own title against the CMS/CDC Table of Neoplasms. A personal-history code describes a condition that no longer exists and is no longer being treated, so it is not interchangeable with the active-disease code.

Side by side

C20Malignant neoplasm of rectumZ12.12Encounter for screening for malignant neoplasm of rectum
Billing statusBillableBillable
ClassificationC00-D49 — Neoplasms (C00-D49)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionMalignant neoplasm of rectum is a billable ICD-10-CM diagnosis code (C20).Encounter for screening for malignant neoplasm of rectum is a billable ICD-10-CM diagnosis code (Z12.12).
Includes
Malignant neoplasm of rectal ampulla
Use additional code
code to identify any family history of malignant neoplasm (Z80.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources