Reader Questions:
Dictate Dx from Pathology Report
Published on Wed Aug 18, 2021
Question: We’re coding an op report for an excised polyp from the rectosigmoid junction that the surgeon identifies as a “colon polyp,” but the pathology report identifies as “hyperplastic polyp.” What is the correct diagnosis code for this case? Florida Subscriber Answer: You should base the diagnosis code on the pathologist’s final diagnosis, not the surgeon’s designation, if they differ. [...]