2025 ICD-10-CM code Z12.81
Encounter for screening for malignant neoplasm of oral cavity.
Medical necessity for oral cancer screening is based on risk factors such as age, tobacco use, alcohol consumption, and family history.
The clinician is responsible for performing the oral cancer screening and documenting the findings.
In simple words: This code is used for a visit specifically for screening for oral cancer.
Encounter for screening for malignant neoplasm of oral cavity.
Example 1: A 55-year-old male with a 20-year history of tobacco use presents for an oral cancer screening., A 40-year-old female with no known risk factors presents for a routine oral cancer screening as part of a dental check-up., A 60-year-old male with a history of leukoplakia presents for a follow-up oral cancer screening.
Documentation should include risk factors, clinical findings, and the results of the screening.
** Use additional code to identify any family history of malignant neoplasm (Z80.-)
- Payment Status: Active
- Specialties:Dentistry, Oral Surgery, Primary Care, Otolaryngology
- Place of Service:Office, Outpatient Hospital, Mobile Unit