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Compare/D12 vs D3A.02

D12 vs D3A.02

D12 (Benign neoplasm of colon, rectum, anus and anal canal) compared with D3A.02 (Benign carcinoid tumors of the appendix, large intestine, and rectum), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. D12 carries an Excludes2 note covering D3A.02: “benign carcinoid tumors of the large intestine and rectum (D3A.02-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

D12Benign neoplasm of colon, rectum, anus and anal canalD3A.02Benign carcinoid tumors of the appendix, large intestine, and rectum
Billing statusNon-billable header

Report instead: D12.0, D12.1, D12.2, D12.3, D12.4

Non-billable header

Report instead: D3A.020, D3A.021, D3A.022, D3A.023, D3A.024

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionBenign neoplasm of colon, rectum, anus and anal canal is a non-billable ICD-10-CM category code (D12).Benign carcinoid tumors of the appendix, large intestine, and rectum is a non-billable ICD-10-CM category code (D3A.02).
Use additional code
code to identify any associated endocrine syndrome, such as:
carcinoid syndrome (E34.00)

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