Wiki Coding removed or destroyed polyps

kakie7717

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Hi Everyone,

We recently had an extensive conversation here about how to properly assign a diagnosis code when a polyp is removed. We have a few of scenerios that we need opinions and confirmation or discussion about:

1) Polyp is removed, pathology comes back and states tubular adenoma, dx given 211.x

2) Polyp is removed, pathology comes back and states "no pathologic diagnosis available", code signs and symptoms or sceening code only. Was being coded with 211.x code because it was a polyp. Opinions needed here.

3) Sessile polyps are destroyed and nothing is sent to pathology. How would this be coded? Indication states History of... should that be it?

Research indicates that a polyp is "precancerous" but with the lack of confirmation, I am hesitant to say go-ahead on always adding the 211.x codes.

Your thoughts?? Thanks in advance for all of the help!
 
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