BMS Adult/Pediatric Incontinence Guidelines HCPCS A4520/A4554 SYMPTOMS OF URINARY DIFFICULTY PAINFUL URINATION Cystourethral Inflammation Urethral Stricture Psychogenic INCREASED FREQUENCY – URGENCY Increased fluid intake of any cause (e.g. diabetes, alcoholism) Cystourethral Inflammation Psychogenic Partial outlet obstruction (e.g. prostatic hypertrophy ) Neurogenic Damage to prefrontal or spinal inhibitory pathways Spinal reflex facilitation INCONTINENCE RETENTION-OVERFLOW: Dribbling or small volumes, pain in pelvic or flank, palpable bladder Cause as listed with retention, below CONFUSIONAL: Small or large volume, usually shameless “SPASTIC”: Variable volume, sporadic occurrence, prominent urgency, Emptying complete Prefrontal lesion Extra Medullary advance spinal compression Occasionally partial outlet obstruction Severe cystitis (small bladder volume) Circumstance: bedridden or crippled elderly with facilities remote INTRASPINAL LESIONS: Moderate volumes, brief urgency, frequent occurrence, high residual urine Intramedullary cervical-thoracic-lumbar lesions (multiple sclerosis, neoplasms, etc.) RETENTION: Acute or chronic outflow obstruction

Acute neurological disease PERIPHERAL: Autonomic polyneuropathy, pelvic trauma, cauda equina compression, conus lesions CENTRAL: poliomyelitis, spinal transaction DRUG: (usually plus local structural problems, Anticholinergics, Antidepressants, opiates PSYCHOGENIC causes

Attached is a BMS (Bureau of Medical Services) approved list of ICD-10 codes for incontinence supplies. This list should not be considered all inclusive. Other diagnoses can be submitted for consideration.

BMS Adult/Pediatric Incontinence Guidelines HCPCS A4520/A4554

A4520

A4554

INCONTINECE GARMENT, ANY TYPE (E.G. BRIEF, DIAPER, EACH)

200 ROLLING MONTH

DISPOSABLE UNDERPADS, ALL SIZES, (E.G., CHUX'S)

150 ROLLING MONTH

PRIOR AUTHORIZATION AVAILABLE ONLY FOR MEMBERS 3 YEARS OR OLDER. WHEN BILLING SINGLE INCONTINENT SUPPLIES (A4520 OR A4554) OR A COMBINATION OF THE TWO, THE TOTAL MAXIMUM COMBINATION IS 250 ITEMS PER MONTH. NO AUTHORIZATION WILL BE GIVEN OVER THIS MONTHLY ALLOWABLE. PRIOR AUTHORIZATION AVAILABLE ONLY FOR MEMBERS 3 YEARS OR OLDER. WHEN BILLING SINGLE INCONTINENT SUPPLIES (A4520 OR A4554) OR A COMBINATION OF THE TWO, THE TOTAL MAXIMUM COMBINATION IS 250 ITEMS PER MONTH. NO AUTHORIZATION WILL BE GIVEN OVER THIS MONTHLY ALLOWABLE.

Documentation Requirements: 1. Certificate of Medical Necessity (CMN), Physician Order or Prescription– Refer to Chapter 506, DME/Medical Supplies, Manual; Attachment 506A 2. Adult/Pediatric incontinence additional documentation can be submitted via the C3 portal or faxed into the UMC provider. A signed physician order is required. Diagnoses and ICD-10 Codes: Sample diagnoses with documented signs and symptoms or urinary/fecal incontinence are as follows: This list should not be considered all inclusive. a) Developmental delay/retardation b) Neurogenic bladder due to spinal cord injury, pelvic trauma, neurological illness, such as MS or muscular dystrophy, pelvic surgery, resulting in pelvic nerve compromise c) Congenital anomalies of the urogenital/anorectal system d) Pelvic radiation therapy e) Dementia f) Immobility- secondary to para/quadriplegia/stroke g) Disease-specify- which results in irreversible loss of control of the urinary bladder and/or anal sphincter. h) drug-induced i) Retention overflow conditions such as bladder outlet obstruction

j) Interstitial cystitis k) Other possible diagnoses (non-inclusive) Spinal cord compression Autonomic polyneuropathy Cauda Equine Syndrome Poliomyelitis Myelomeningocele Normal Pressure Hydrocephalus Spinal Cord tumor

Diagnosis Codes Converted to ICD-10 Using Approved BMS Code Mapping 335.20 335.21 335.22 335.23

Amyotrophic lateral sclerosis Progressive muscular atrophy Progressive bulbar palsy Pseudobulbar palsy

G12.21 G12.21 G12.22 G12.8

Amyotrophic lateral sclerosis Amyotrophic lateral sclerosis Progressive bulbar palsy Other spinal muscular atrophies and related syndromes

335.24 335.29 335.29 335.8

Primary lateral sclerosis Other motor neuron disease Other motor neuron disease Other anterior horn cell diseases

G12.29 G12.20 G12.29 G12.8

Other motor neuron disease Motor neuron disease, unspecified Other motor neuron disease Other spinal muscular atrophies and related syndromes

335.9

Anterior horn cell disease, unspecified

G12.9

Spinal muscular atrophy, unspecified

340

Multiple sclerosis

G35

Multiple sclerosis

342.00

Flaccid hemiplegia and hemiparesis affecting unspecified side

G81.00

Flaccid hemiplegia affecting unspecified side

342.01

Flaccid hemiplegia and hemiparesis affecting dominant side

G81.01

Flaccid hemiplegia affecting right dominant side

342.01

Flaccid hemiplegia and hemiparesis affecting dominant side

G81.02

Flaccid hemiplegia affecting left dominant side

342.02

Flaccid hemiplegia and hemiparesis affecting nondominant side

G81.03

Flaccid hemiplegia affecting right nondominant side

342.02

Flaccid hemiplegia and hemiparesis affecting nondominant side

G81.04

Flaccid hemiplegia affecting left nondominant side

342.10

Spastic hemiplegia and hemiparesis affecting unspecified side

G81.10

Spastic hemiplegia affecting unspecified side

342.11

Spastic hemiplegia and hemiparesis affecting dominant side

G81.11

Spastic hemiplegia affecting right dominant side

342.11

Spastic hemiplegia and hemiparesis affecting dominant side

G81.12

Spastic hemiplegia affecting left dominant side

342.12

Spastic hemiplegia and hemiparesis affecting nondominant side

G81.13

Spastic hemiplegia affecting right nondominant side

342.12

Spastic hemiplegia and hemiparesis affecting nondominant side

G81.14

Spastic hemiplegia affecting left nondominant side

342.80

Other specified hemiplegia and hemiparesis affecting unspecified side

G81.90

Hemiplegia, unspecified affecting unspecified side

342.81

Other specified hemiplegia and hemiparesis affecting dominant side

G81.91

Hemiplegia, unspecified affecting right dominant side

342.81

Other specified hemiplegia and hemiparesis affecting dominant side

G81.92

Hemiplegia, unspecified affecting left dominant side

342.82

Other specified hemiplegia and hemiparesis affecting nondominant side Other specified hemiplegia and hemiparesis affecting nondominant side Hemiplegia, unspecified, affecting unspecified side

G81.93

Hemiplegia, unspecified affecting right nondominant side

G81.94

Hemiplegia, unspecified affecting left nondominant side

G81.90

Hemiplegia, unspecified affecting unspecified side

342.91

Hemiplegia, unspecified, affecting dominant side

G81.91

Hemiplegia, unspecified affecting right dominant side

342.91

Hemiplegia, unspecified, affecting dominant side

G81.92

Hemiplegia, unspecified affecting left dominant side

342.92

Hemiplegia, unspecified, affecting nondominant side

G81.93

Hemiplegia, unspecified affecting right nondominant side

342.92

Hemiplegia, unspecified, affecting nondominant side

G81.94

Hemiplegia, unspecified affecting left nondominant side

344.00 344.01 344.02 344.03 344.04 344.09

Quadriplegia, unspecified Quadriplegia, C1-C4, complete Quadriplegia, C1-C4, incomplete Quadriplegia, C5-C7, complete Quadriplegia, C5-C7, incomplete Other quadriplegia

G82.50 G82.51 G82.52 G82.53 G82.54 G82.50

Quadriplegia, unspecified Quadriplegia, C1-C4 complete Quadriplegia, C1-C4 incomplete Quadriplegia, C5-C7 complete Quadriplegia, C5-C7 incomplete Quadriplegia, unspecified

344.1 344.1 344.1 344.1

Paraplegia Paraplegia Paraplegia Paraplegia

G04.1 G82.20 G82.21 G82.22

Tropical spastic paraplegia Paraplegia, unspecified Paraplegia, complete Paraplegia, incomplete

344.30

Monoplegia of lower limb affecting unspecified side

G83.10

Monoplegia of lower limb affecting unspecified side

344.31

Monoplegia of lower limb affecting dominant side

G83.11

Monoplegia of lower limb affecting right dominant side

344.31

Monoplegia of lower limb affecting dominant side

G83.12

Monoplegia of lower limb affecting left dominant side

344.32

Monoplegia of lower limb affecting nondominant side

G83.13

Monoplegia of lower limb affecting right nondominant side

342.82

342.90

344.32

Monoplegia of lower limb affecting nondominant side

G83.14

Monoplegia of lower limb affecting left nondominant side

344.60

Cauda equina syndrome without mention of neurogenic bladder

G83.4

Cauda equina syndrome

344.61

Cauda equina syndrome with neurogenic bladder

G83.4

Cauda equina syndrome

344.9

Paralysis, unspecified

G83.9

Paralytic syndrome, unspecified

569.42

Anal or rectal pain

K62.89

Other specified diseases of anus and rectum

596.51 596.52

Hypertonicity of bladder Low bladder compliance

N32.81 N31.8

596.53

Paralysis of bladder

N31.2

Overactive bladder Other neuromuscular dysfunction of bladder Flaccid neuropathic bladder, not elsewhere classified

596.54

Neurogenic bladder NOS

N31.0

Uninhibited neuropathic bladder, not elsewhere classified

596.54

Neurogenic bladder NOS

N31.1

Reflex neuropathic bladder, not elsewhere classified

596.54

Neurogenic bladder NOS

N31.9

Neuromuscular dysfunction of bladder, unspecified

596.55 596.59

Detrusor sphincter dyssynergia Other functional disorder of bladder

N36.44 N31.9

Muscular disorders of urethra Neuromuscular dysfunction of bladder, unspecified

598.9 598.9

Urethral stricture, unspecified Urethral stricture, unspecified

N35.8 N35.9

Other urethral stricture Urethral stricture, unspecified

599.81 599.81

Urethral hypermobility Urethral hypermobility

N36.41 N36.43

Hypermobility of urethra Combined hypermobility of urethra and intrinsic sphincter deficiency

599.82

Intrinsic (urethral) sphincter deficiency [ISD] Intrinsic (urethral) sphincter deficiency [ISD]

N36.42

Intrinsic sphincter deficiency (ISD)

N36.43

Combined hypermobility of urethra and intrinsic sphincter deficiency

Urethral instability

N36.8

Other specified disorders of urethra

599.82 599.83

600.00

Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS)

N40.0

Enlarged prostate without lower urinary tract symptoms

600.01

Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS)

N40.1

Enlarged prostate with lower urinary tract symptoms

600.10

Nodular prostate without urinary obstruction

N40.2

Nodular prostate without lower urinary tract symptoms

600.11

Nodular prostate with urinary obstruction

N40.3

Nodular prostate with lower urinary tract symptoms

600.20

Benign localized hyperplasia of prostate without urinary obstruction and other lower urinary tract symptoms (LUTS) Benign localized hyperplasia of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS) Cyst of prostate Hyperplasia of prostate, unspecified, without urinary obstruction and other lower urinary symptoms (LUTS)

N40.0

Enlarged prostate without lower urinary tract symptoms

N40.1

Enlarged prostate with lower urinary tract symptoms

N42.83 N40.0

Cyst of prostate Enlarged prostate without lower urinary tract symptoms

600.91

Hyperplasia of prostate, unspecified, with urinary obstruction and other lower urinary symptoms (LUTS)

N40.1

Enlarged prostate with lower urinary tract symptoms

618.00 618.01 618.01 618.02 618.03 618.04 618.05 618.09

Unspecified prolapse of vaginal walls Cystocele, midline Cystocele, midline Cystocele, lateral Urethrocele Rectocele Perineocele Other prolapse of vaginal walls without mention of uterine prolapse

N81.9 N81.10 N81.11 N81.12 N81.0 N81.6 N81.81 N81.89

Female genital prolapse, unspecified Cystocele, unspecified Cystocele, midline Cystocele, lateral Urethrocele Rectocele Perineocele Other female genital prolapse

618.1

Uterine prolapse without mention of vaginal wall prolapse

N81.2

Incomplete uterovaginal prolapse

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.50

Muscle wasting and atrophy, not elsewhere classified, unspecified site

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.511 Muscle wasting and atrophy, not elsewhere classified, right shoulder

600.21

600.3 600.90

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.512 Muscle wasting and atrophy, not elsewhere classified, left shoulder

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.519 Muscle wasting and atrophy, not elsewhere classified, unspecified shoulder M62.521 Muscle wasting and atrophy, not elsewhere classified, right upper arm

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.522 Muscle wasting and atrophy, not elsewhere classified, left upper arm

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.529 Muscle wasting and atrophy, not elsewhere classified, unspecified upper arm M62.531 Muscle wasting and atrophy, not elsewhere classified, right forearm

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.532 Muscle wasting and atrophy, not elsewhere classified, left forearm

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.539 Muscle wasting and atrophy, not elsewhere classified, unspecified forearm M62.541 Muscle wasting and atrophy, not elsewhere classified, right hand

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.542 Muscle wasting and atrophy, not elsewhere classified, left hand

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.549 Muscle wasting and atrophy, not elsewhere classified, unspecified hand

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.551 Muscle wasting and atrophy, not elsewhere classified, right thigh

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.552 Muscle wasting and atrophy, not elsewhere classified, left thigh

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.559 Muscle wasting and atrophy, not elsewhere classified, unspecified thigh

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.561 Muscle wasting and atrophy, not elsewhere classified, right lower leg

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.562 Muscle wasting and atrophy, not elsewhere classified, left lower leg

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.569 Muscle wasting and atrophy, not elsewhere classified, unspecified lower leg M62.571 Muscle wasting and atrophy, not elsewhere classified, right ankle and foot M62.572 Muscle wasting and atrophy, not elsewhere classified, left ankle and foot

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

728.2

Muscular wasting and disuse atrophy, not elsewhere classified

M62.59

Muscle wasting and atrophy, not elsewhere classified, multiple sites

788.1 788.1

Dysuria Dysuria

R30.0 R30.9

Dysuria Painful micturition, unspecified

788.20 788.21

Retention of urine, unspecified Incomplete bladder emptying

R33.9 R39.14

788.29 788.29

Other specified retention of urine Other specified retention of urine

R33.0 R33.8

Retention of urine, unspecified Feeling of incomplete bladder emptying Drug induced retention of urine Other retention of urine

788.30

Urinary incontinence, unspecified

R32

Unspecified urinary incontinence

788.34

N39.42

788.35 788.36 788.37

Incontinence without sensory awareness Post-void dribbling Nocturnal enuresis Continuous leakage

N39.43 N39.44 N39.45

Incontinence without sensory awareness Post-void dribbling Nocturnal enuresis Continuous leakage

788.41 788.42 788.43

Urinary frequency Polyuria Nocturia

R35.0 R35.8 R35.1

Frequency of micturition Other polyuria Nocturia

788.61

Splitting of urinary stream

R39.13

Splitting of urinary stream

154.0

Malignant neoplasm of rectosigmoid junction Malignant neoplasm of rectum Malignant neoplasm of anal canal Malignant neoplasm of anus, unspecified site Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus

C19

Malignant neoplasm of rectosigmoid junction Malignant neoplasm of rectum Malignant neoplasm of anal canal Malignant neoplasm of anus, unspecified Malignant neoplasm of cloacogenic zone

154.1 154.2 154.3 154.8

154.8

M62.579 Muscle wasting and atrophy, not elsewhere classified, unspecified ankle and foot M62.58 Muscle wasting and atrophy, not elsewhere classified, other site

C20 C21.1 C21.0 C21.2

C21.8

Malignant neoplasm of overlapping sites of rectum, anus and anal canal

171.6

Malignant neoplasm of connective and other soft tissue of pelvis

C47.5

Malignant neoplasm of peripheral nerves of pelvis

171.6

Malignant neoplasm of connective and other soft tissue of pelvis

C49.5

Malignant neoplasm of connective and soft tissue of pelvis

180.0 180.1 180.8

Malignant neoplasm of endocervix Malignant neoplasm of exocervix Malignant neoplasm of other specified sites of cervix

C53.0 C53.1 C53.8

Malignant neoplasm of endocervix Malignant neoplasm of exocervix Malignant neoplasm of overlapping sites of cervix uteri

180.9

Malignant neoplasm of cervix uteri, unspecified site

C53.9

Malignant neoplasm of cervix uteri, unspecified

185

Malignant neoplasm of prostate

C61

Malignant neoplasm of prostate

188.0

Malignant neoplasm of trigone of urinary bladder

C67.0

Malignant neoplasm of trigone of bladder

188.1

Malignant neoplasm of dome of urinary bladder

C67.1

Malignant neoplasm of dome of bladder

188.2

Malignant neoplasm of lateral wall of urinary bladder

C67.2

Malignant neoplasm of lateral wall of bladder

188.3

Malignant neoplasm of anterior wall of urinary bladder

C67.3

Malignant neoplasm of anterior wall of bladder

188.4

Malignant neoplasm of posterior wall of urinary bladder

C67.4

Malignant neoplasm of posterior wall of bladder

188.5 188.6 188.7 188.8

Malignant neoplasm of bladder neck Malignant neoplasm of ureteric orifice Malignant neoplasm of urachus Malignant neoplasm of other specified sites of bladder

C67.5 C67.6 C67.7 C67.8

Malignant neoplasm of bladder neck Malignant neoplasm of ureteric orifice Malignant neoplasm of urachus Malignant neoplasm of overlapping sites of bladder

188.9

Malignant neoplasm of bladder, part unspecified

C67.9

Malignant neoplasm of bladder, unspecified

189.3

Malignant neoplasm of urethra

C68.0

Malignant neoplasm of urethra

189.4

Malignant neoplasm of paraurethral glands

C68.1

Malignant neoplasm of paraurethral glands

197.5

Secondary malignant neoplasm of large intestine and rectum

C78.5

Secondary malignant neoplasm of large intestine and rectum

198.82

Secondary malignant neoplasm of genital organs

C79.82

Secondary malignant neoplasm of genital organs

233.4

Carcinoma in situ of prostate

D07.5

Carcinoma in situ of prostate

235.2

Neoplasm of uncertain behavior of stomach, intestines, and rectum

D37.1

Neoplasm of uncertain behavior of stomach

235.2

Neoplasm of uncertain behavior of stomach, intestines, and rectum

D37.2

Neoplasm of uncertain behavior of small intestine

235.2

Neoplasm of uncertain behavior of stomach, intestines, and rectum

D37.3

Neoplasm of uncertain behavior of appendix

235.2

Neoplasm of uncertain behavior of stomach, intestines, and rectum

D37.4

Neoplasm of uncertain behavior of colon

235.2

Neoplasm of uncertain behavior of stomach, intestines, and rectum

D37.5

Neoplasm of uncertain behavior of rectum

236.5

Neoplasm of uncertain behavior of prostate

D40.0

Neoplasm of uncertain behavior of prostate

239.5

Neoplasm of unspecified nature of other genitourinary organs

D49.5

Neoplasm of unspecified behavior of other genitourinary organs

596.0

Bladder neck obstruction

N32.0

Bladder-neck obstruction

600.00

Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS)

N40.0

Enlarged prostate without lower urinary tract symptoms

600.01

Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS)

N40.1

Enlarged prostate with lower urinary tract symptoms

600.10

Nodular prostate without urinary obstruction

N40.2

Nodular prostate without lower urinary tract symptoms

600.11

Nodular prostate with urinary obstruction

N40.3

Nodular prostate with lower urinary tract symptoms

600.20

Benign localized hyperplasia of prostate without urinary obstruction and other lower urinary tract symptoms (LUTS) Benign localized hyperplasia of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS) Cyst of prostate

N40.0

Enlarged prostate without lower urinary tract symptoms

N40.1

Enlarged prostate with lower urinary tract symptoms

N42.83

Cyst of prostate

600.21

600.3

600.90

Hyperplasia of prostate, unspecified, without urinary obstruction and other lower urinary symptoms (LUTS)

N40.0

Enlarged prostate without lower urinary tract symptoms

600.91

Hyperplasia of prostate, unspecified, with urinary obstruction and other lower urinary symptoms (LUTS)

N40.1

Enlarged prostate with lower urinary tract symptoms

601.0 601.1 601.2 601.3 601.4

Acute prostatitis Chronic prostatitis Abscess of prostate Prostatocystitis Prostatitis in diseases classified elsewhere Prostatitis in diseases classified elsewhere

N41.0 N41.1 N41.2 N41.3 A18.14

Acute prostatitis Chronic prostatitis Abscess of prostate Prostatocystitis Tuberculosis of prostate

N51

Disorders of male genital organs in diseases classified elsewhere

601.8

Other specified inflammatory diseases of prostate

N41.4

Granulomatous prostatitis

601.8

Other specified inflammatory diseases of prostate

N41.8

Other inflammatory diseases of prostate

601.9

Prostatitis, unspecified

N41.9

602.0 602.1

Calculus of prostate Congestion or hemorrhage of prostate

N42.0 N42.1

602.2 602.2 602.3 602.8 602.8 602.8 602.9

Atrophy of prostate Atrophy of prostate Dysplasia of prostate Other specified disorders of prostate Other specified disorders of prostate Other specified disorders of prostate Unspecified disorder of prostate

N42.89 N42.9 N42.3 N42.81 N42.82 N42.89 N42.9

Inflammatory disease of prostate, unspecified Calculus of prostate Congestion and hemorrhage of prostate Other specified disorders of prostate Disorder of prostate, unspecified Dysplasia of prostate Prostatodynia syndrome Prostatosis syndrome Other specified disorders of prostate Disorder of prostate, unspecified

787.60 787.61 787.62 787.63

Full incontinence of feces Incomplete defecation Fecal smearing Fecal urgency

R15.9 R15.0 R15.1 R15.2

Full incontinence of feces Incomplete defecation Fecal smearing Fecal urgency

998.6

Persistent postoperative fistula

T81.83xA Persistent postprocedural fistula, initial encounter

V10.05

Personal history of malignant neoplasm of large intestine

Z85.038

601.4

Personal history of other malignant neoplasm of large intestine

V10.06

Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus

Z85.048

Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus