Colliemom
Expert
With ICD-10 enabling us to bill K63.5 for hyperplastic polyps and D12.x for adenomatous polyps, a new question has come up.
We know that if a patient has a history of polyps, and they return to have a repeat surveillance colonoscopy years later, that it is not a screening colonoscopy. It is billed as a preventative service, with the personal history of colon polyps as the dx. But if a polyp is hyperplastic, instead of adenomatous, would it still be a surveillance colonoscopy or would the provider be able to bill a screening colonoscopy?
What do you think?
We know that if a patient has a history of polyps, and they return to have a repeat surveillance colonoscopy years later, that it is not a screening colonoscopy. It is billed as a preventative service, with the personal history of colon polyps as the dx. But if a polyp is hyperplastic, instead of adenomatous, would it still be a surveillance colonoscopy or would the provider be able to bill a screening colonoscopy?
What do you think?