Gastroenterology Coding Alert
Reader Question:
Reflect Personal History When Coding Surveillance Colonoscopy
Published on Thu Nov 10, 2011
Question: If the physician does not state the type of polyp as adenomatous for a "surveillance colonoscopy," should I report V12.72 in addition to the V76.51 or just the V76.51? The physician's note states "This 59-year-old gentleman is referred for surveillance colonoscopy after having polyps removed several years ago."
West Virginia Subscriber
Answer: You should code V12.72 (Personal history of colonic polyps). Code V76.51 (Special screening for malignant neoplasms colon) describes average risk screening performed every ten years, so you shouldn't report this code. You should not use V67.09 (Follow up examination following other surgery) for endoscopic procedures.
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