Colorectal Adenoma (J008)
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/colorectal-adenoma-j008-d120-d125d127d128
Rulebase for colorectal adenoma
<div><h5>Current RMA Instruments</h5><table border="1" cellpadding="1" cellspacing="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2022/b3ed5f7cdb/015.pdf" target="_blank">Reasonable Hypothesis SOP</a></address></td><td>15 of 2022</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2022/b8e098cbb1/016.pdf" target="_blank">Balance of Probabilities SOP</a></address></td><td>16 of 2022</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="85c17911-3c4a-4b9a-87fe-c1d050c62e39" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><ul><li><span>ICD-9-CM Codes: 211.30, 211.40</span></li><li><span>ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.</span>8</li></ul><h5>Brief description</h5><p>This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.</p><h5><span>Confirming the diagnosis</span><b> </b></h5><p>Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.</p><p>The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.</p><h5><span>Additional diagnoses covered by SOP</span></h5><ul><li>Colorectal adenomatous polyp</li><li>Colorectal serrated adenoma</li><li>Colorectal polypoid adenoma</li><li>Colorectal villous or tubulovillous adenoma</li><li>Colorectal mixed polypoid and villous adenoma</li></ul><h5><span>Conditions not covered by SOP</span></h5><ul><li>Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum<span><sup>#</sup></span></li><li>Benign neoplasms including polyps of the anus or anal canal<span><sup>#</sup></span></li><li>Familial Adenomatous Polyposis*</li><li>Hyperplastic polyps of the colon or rectum<span><sup>#</sup></span></li><li>Malignant neoplasm of the colon*</li><li>Malignant neoplasm of the rectum*</li><li>Non-epithelial benign neoplasms of the colon or rectum<span><sup>#</sup></span></li><li>Non-neoplastic polyps of the colon or rectum<span><sup>#</sup></span></li><li>Non-polypoid dysplasia of the colon or <span>rectum</span><span><sup>#</sup></span></li><li>Polyps of the colon or rectum which are not adenomatous<span><sup>#</sup></span></li></ul><p>* another SOP applies</p><p><sup><span># </span></sup>non-SOP condition</p><h5>Clinical onset</h5><p>In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis. </p><h5>Clinical worsening</h5><p>The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.</p><p> </p><p> </p><p><a href="http://clik.dva.gov.au/node/77447"> </a></p><p> </p></div><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma
Alcohol consumption
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/alcohol-consumption
Being obese
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/being-obese
Cigar smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/cigar-smoking
Cigarette smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/cigarette-smoking
Inability to obtain appropriate clinical management for colorectal adenoma
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/inability-obtain-appropriate-clinical-management-colorectal-adenoma
Inability to undertake more than a mildly strenuous level of physical activity
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/inability-undertake-more-mildly-strenuous-level-physical-activity
Pipe smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/pipe-smoking
Smoking tobacco products - material contribution
Current RMA Instruments
| Reasonable Hypothesis SOP | 15 of 2022 |
| Balance of Probabilities SOP | 16 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 211.30, 211.40
- ICD-10-AM Codes: D12.0-D12.5, D12.7, D12.8
Brief description
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Confirming the diagnosis
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
Additional diagnoses covered by SOP
- Colorectal adenomatous polyp
- Colorectal serrated adenoma
- Colorectal polypoid adenoma
- Colorectal villous or tubulovillous adenoma
- Colorectal mixed polypoid and villous adenoma
Conditions not covered by SOP
- Adenomatous polyps of other sites, ie. anal canal, anus, stomach, duodenum, jejunum or ileum#
- Benign neoplasms including polyps of the anus or anal canal#
- Familial Adenomatous Polyposis*
- Hyperplastic polyps of the colon or rectum#
- Malignant neoplasm of the colon*
- Malignant neoplasm of the rectum*
- Non-epithelial benign neoplasms of the colon or rectum#
- Non-neoplastic polyps of the colon or rectum#
- Non-polypoid dysplasia of the colon or rectum#
- Polyps of the colon or rectum which are not adenomatous#
* another SOP applies
# non-SOP condition
Clinical onset
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/colorectal-adenoma-j008-d120-d125d127d128/rulebase-colorectal-adenoma/smoking-tobacco-products-material-contribution