ICD-10 Code D13.91 – Familial adenomatous polyposis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Familial adenomatous polyposis is D13.91.
2026 ICD-10-CM Diagnosis Code D13.91 – Familial adenomatous polyposis

What it is

Familial adenomatous polyposis is an inherited condition that causes many adenomatous polyps to develop in the colon and rectum. It is a high-risk precancerous disorder and usually requires ongoing surveillance.

Clinical signs

Patients often have numerous colorectal polyps, a strong family history, or genetic confirmation of an APC-related syndrome. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record clearly documents familial adenomatous polyposis, including classic or attenuated forms. You may also use it when the provider identifies FAP as the reason for surveillance, genetic counseling, or colorectal evaluation. Check documentation if the note only mentions a family history of polyps without a confirmed diagnosis.

Do not use for

Do not use this code for sporadic colorectal polyps, isolated adenomas, or nonspecific family history alone. If the diagnosis is uncertain or not stated, check documentation.

Coding tip

Code the confirmed hereditary disorder, not the screening procedure or family history, unless the provider documents FAP.

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