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ICD-10/Z12.12

Z12.12 ICD-10-CM Code: Encounter for screening for malignant neoplasm of rectum

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

  • MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Encounter for screening for malignant neoplasm of rectum is a billable ICD-10-CM diagnosis code (Z12.12).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for Z12.12 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • encounter for diagnostic examination-code to sign or symptom

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify any family history of malignant neoplasm (Z80.-)

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z12.12 in its code family, with their registry titles.

  • Z12 — Encounter for screening for malignant neoplasms
  • 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
  • Z12.13 — 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

View all codes in the Z12 family

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Screening (for), neoplasm (malignant) (of), intestinal tract, rectum
  • Screening (for), neoplasm (malignant) (of), rectum