Encounter for screening for malignant neoplasm of rectum

This code signifies a patient encounter specifically for the purpose of screening for colorectal cancer, focusing on the rectal segment. It indicates that the patient is asymptomatic and undergoing a preventive examination to detect early signs of malignancy in the rectum.

Apply this code when a patient presents for a routine screening colonoscopy or sigmoidoscopy where the primary intent is to screen for rectal cancer. This includes encounters for patients who are at average risk or increased risk but are asymptomatic. Do not use this code if the patient has symptoms suggestive of rectal cancer or a known history of rectal malignancy.

• Always sequence this code as the primary diagnosis when the sole reason for the encounter is screening.
• Do not use this code if a definitive diagnosis of rectal cancer is already established or suspected due to symptoms.
• Pair this code with the appropriate CPT code for the screening procedure performed (e.g., colonoscopy, sigmoidoscopy).